At Westonci.ca, we connect you with the answers you need, thanks to our active and informed community. Ask your questions and receive precise answers from experienced professionals across different disciplines. Explore comprehensive solutions to your questions from a wide range of professionals on our user-friendly platform.

An 87 y.o. female patient presents to the emergency room with change in mental status. Labs: WBC 10.5, Platelets 147, BUN 21, Creatinine 0.9, Na 125, glucose 103. She currently takes lisinopril with hydrochlorthiazide 10/12.5 mg per day and aspirin 81 mg daily, Physical exam: confusion, lethargy, peripheral edema 3+ pitting. You suspect SIADH. What would be an appropriate treatment approach for this patient (choose all that apply)?

A. Fluid restriction
B. 2 liter NS bolus
C. Workup for diabetes
D. Close monitoring of serum sodium to avoid correcting hyponatremia too rapidly due to risk of central pontine myelinolysis.
E. Nephrology consult