1 Day Of Progressive in Medicine / Internal Medicine — 73yo Man | Nephrology | SMLE Q#11639
SMLE Question #11639
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 73-year-old man with decompensated liver cirrhosis (tense ascites, bilateral pitting edema), type 2 diabetes, long-standing hypertension, and ischemic heart disease presents with 1 day of progressive confusion and drowsiness. His family reports poor oral intake. He is disoriented but arousable, with slightly dry mucous membranes and no focal neurologic deficits. Renal function is stable. What is the most appropriate immediate intravenous fluid management?
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