BOF 44

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BOF: 44

A 60-year-old male is being investigated for cough. He is a heavy smoker.

On examination there is tar staining of his fingers but no other physical signs. Investigations:

Sodium 119 mmol/L

Potassium 3.6 mmol /L

Urea 4.5 mmol/L

Glucose 5.1 mmol/L

Urinary sodium 56 mmol/L

Urine osmolality 456 mOsm/kg

In this patient which one of the following interventions would you implement?

a)      Fluid restriction

b)      Saline infusion

c)      Treat with prednisolone

d)      Treat with fludrocortisone

e)      Treat with a loop diuretic

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