Sunday, July 6, 2008

Pharmacy Prereg exam 2008 Bumetanide infusion question


Site update
I've heard alot about this question causing problems. Here's my theory on the answer...

".........The question something like this:
Which of these are suitable infusion fluids for bumetanide:
1. Sodium chloride 0.18% and Glucose 4%
2. Sodium chloride 0.9%
3. Sodium lactate

Is the answer:
A. 1, 2 and 3 are correct
B. 1 and 2 are correct
C. 2 and 3 are correct
D. 1 only is correct
E. 3 only is correct

My theory
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


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" quoted from the BNF. bumetide causes hyponatraemia, so....."

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