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Electrolyte containing irrigation solutions are avoided during transurethral resection of the prostate because they:

a. interfere with the use of the cautery
b. can precipitate severe hyponatremia
c. can cause hyperglycemia in diabetic patients
d. are associated with elevated ammonia levels postoperatively

User Inisheer
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Final answer:

Electrolyte solutions are avoided during TURP to prevent severe hyponatremia, a condition of low sodium levels, which can be exacerbated by fluid absorption during the surgery.

Step-by-step explanation:

Electrolyte containing irrigation solutions are avoided during transurethral resection of the prostate (TURP) because they can precipitate severe hyponatremia. Hyponatremia is a condition characterized by low levels of sodium in the blood, which can occur if electrolyte solutions are absorbed into the bloodstream during the procedure. The presence of electroyltes in the irrigation fluid can interfere with the body’s sodium balance, leading to dilutional hyponatremia. This is particularly dangerous during TURP as the procedure can already lead to the absorption of significant amounts of fluids. Additionally, the use of electrolytes in irrigation solutions would cause electrical currents, which can result in interference with electrosurgical instruments. Non-electrolyte solutions are therefore used to avoid these complications.

User Yazan Najjar
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