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Upon physical examination -- sudden weight loss (overnight), postural hypotension, tachycardia, oliguria (less than 30 ml/hr), dark yellow urine, thready pulse, dry mucous membranes, inelastic skin turgor, restlessness, thirst, confusion, cold clammy skin, hypotension, HYPOVOLEMIC SHOCK

a. ECV deficit
b. Hypernatremia
c.Hypervolemic shock
d. Respiratory alkalosis

1 Answer

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Final answer:

The symptoms described indicate hypovolemic shock, a severe loss of blood and fluid volume leading to circulatory system failure. Treatment includes IV fluids and medications to restore volume and maintain blood pressure.

Step-by-step explanation:

The symptoms presented, including sudden weight loss, postural hypotension, tachycardia, oliguria, dark yellow urine, a thready pulse, dry mucous membranes, inelastic skin turgor, restlessness, thirst, confusion, cold clammy skin, and hypotension indicate a state of hypovolemic shock. This condition is characterized by a severe fluid and blood volume loss that compromises circulating volume, leading to decreased delivery of oxygen and nutrients to the tissues. The classic signs include rapid and weak heartbeat, low urine output, and altered mental status. Treatment typically involves administering intravenous fluids to replenish lost volume, and medications like dopamine, epinephrine, and norepinephrine to help maintain blood pressure.

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