Intravenous Fluids · NCLEX Exam

Which is the main risk associated with administering hypertonic saline to a patient with hyponatremia and cerebral edema?

  1. Worsening cerebral edema from the infusion
  2. Cellular dehydration with osmotic demyelination
  3. Profound hypotension during the infusion
  4. Intracellular volume overload and cell swelling
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Correct answer: Cellular dehydration with osmotic demyelination

Hypertonic saline can lead to osmotic demyelination syndrome due to rapid water movement out of cells into the intravascular space.

Difficulty: Hard Question 2 of 20

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