Q:

An 89 year old patient has lung cancer. His Na+ 122mmol/l. What is the treatment for this?

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An 89 year old patient has lung cancer. His Na+ 122mmol/l. What is the treatment for this?


  1. Demeclocycline
  2. Vasopressin
  3. Restrict fluids
  4. Reassure

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The key is C. Restrict fluid. [This is a case of SIADH secondary to lung cancer and in case of SIADH even in sever hyponatremia 1st line treatment is fluid restriction. So for this question answer is C. Fluid restriction].

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