Quote:
Originally Posted by johnep  Can you give us an outline of the bumetanide question?
johnep |
I heard about the bumetamide question, i tried to look it up aswell but still not sure what the correct answer is
The question was something like this:
Which iv infusions are suitable for bumetamide
1. sodium chloride 0.18% and glucose 4%
2. sodium chloride 0.9%
3. Sodium lactate intravenous infusion
To help you look up it up in the BNF: (1) referenced in BNF inappendix 6 under bumetanide and (2) and (3) referenced in BNF under Sodium Chloride infusion chapter 9.2.2
I think the answer is 2and 3 is true
1. MAYBE FALSE: cause "injudicious use of solutions such as sodium chloride 0.18% and glucose 4% may also cause dilutional hyponatreamia especially in children and elderly" not sure what dilutional hyponatraemia means but i'm guessing it causes hyponatraemia and bumetide causes hyponatraemia, so this combination can't be good
2. TRUE: cleary shown in the infusion tables in bnf as what is recommended
3: MAYBE TRUE:not much information in the BNF but heres my theory... bumetamide causes hypokalaemia sodium lactate iv infusion contains potassium so may help counter this. haha its just a guess, this is how i would answer it with just the bnf and not looking at other references
The one that was clearly right was definetely 2, therefore one or both of the others must be true as theres no option to have 2correct only.
The prereg i spoke to said he said c aswell, but just as a pure guess, as he only looked up the infusion table and didn't have time to look up the sodium chloride info.
Anyone know the answer?