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BOF: 21

You see a 46-year-old woman with chronic pyelonephritis and a history of renal stones in the renal clinic

Investigations

Na 139                                    Chloride 112

K 2.8                           Bicarbonate 14

Urea 3.4                       Calcium 2.41

Creatinine 71                Albumin 42

ABGs:            

pH       7.31

PCO2  4.5

PO2     12.1

Urine analysis:        

pH 7.5

Blood –

Protein +/-

Glucose –

Calcium 12mmol/24h (normal 2.5 –7.5)

What is the most appropriate treatment?

a) Citrate supplements

b) Ammonium chloride supplements

c) Fludrocortisone

d) Frusemide

e) Hydrocortisone

 

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