Hypernatraemia from dehydration — SCE Acute Medicine MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: E — Approximately 6.0 litres
Estimated total-body water is 0.5 × 70 = 35 litres. Free-water deficit = TBW × [(measured sodium ÷ target sodium) − 1] = 35 × [(164 ÷ 140) − 1] = 6.0 litres. This is an estimate: ongoing losses and clinical response must be incorporated. Chronic hypernatraemia should be corrected gradually with frequent sodium monitoring after circulation has been restored.
Reference: https://bnf.nice.org.uk/treatment-summaries/fluids-and-electrolytes/