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Scenario:
A healthy adult develops a 24 hour gastrointestinal virus and experiences an acute episode of vomiting and diarrhea. On examination the next day, his serum Na* is 142 mE/L, he has lost 3 kg body weight (in 24 hours), and has orthostatic hypotension.
Question 1: Because the serum Nat is 142 mEq/L, we know that the tonicity of the lost fluid was and the plasma osmolality is
• hypotonic, decreased osmolality O hypotonic, increased osmolality • isotonic, increased osmolality • hypertonic, decreased osmolality O isotonic, unchanged osmolality
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