A 54-year-old woman comes to the physician because of abdominal distention and mild diffuse abdominal discomfort for the past week. She has not had nausea, vomiting, fever, or chills. She was diagnosed with alcoholic liver cirrhosis 2 years ago. Examination shows a protruding, distended abdomen that is dull to percussion with a positive fluid wave. Ultrasonography shows mild to moderate ascites. Appropriate treatment of the patient's condition is started. Four days later, the patient experiences palpitations and chest pain at home. She is brought to the emergency department, where her temperature is 37.3°C (99.1°F) , pulse is 182/min, respirations are 18/min, and blood pressure is 82/50 mm Hg. An ECG shows ventricular tachycardia. Initial laboratory studies show:
Serum
Na+ 131 mEq/L
K+ 2.9 mEq/L
Cl- 92 mEq/L
Bicarbonate 34 mEq/L
Urea nitrogen 42 mg/dL
Creatinine 4.8 mg/dL
Glucose 90 mg/dL
Ca2++ 8.1 mg/dL
Mg2++ 1.3 mEq/L
Phosphate 4.7 mg/dL
Arterial Blood Gas
PH 7.52
PCO2 45 mm Hg
PO2 90.2 mm Hg
She is successfully cardioverted to normal sinus rhythm. Which of the following treatments is most likely responsible for this patient's presentation?
A) Hydrochlorothiazide
B) Furosemide
C) Acetazolamide
D) Lisinopril
E) Spironolactone
F) Mannitol
Correct Answer:
Verified
Q27: A 60-year-old amn is being evaluated for
Q28: A 54-year-old man is brought to the
Q29: A 60-year-old amn is being evaluated for
Q30: Four days after undergoing a total abdominal
Q31: A new aminoglycoside antibiotic is developed to
Q33: A researcher is deveolping a new medication
Q34: A 23-year-old woman comes to the physician
Q35: A 50-year-old man is brought to the
Q36: A 78-year-old male nursing home resident is
Q37: A 72-year-old man comes to the office
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents