Q.

73 years female with metastatic breast cancer, on tamoxifen for 6/12. 2/7 Hx of nausea and thirst. Na+ 155, K+ 5.2, urine osm 137. Has multiple mets including sella turcica. Next most appropriate treatment:

A. Saline
B. Fluid restriction
C. Intranasal desmopressin
D. APD
E. Demeclocycline
Answer» B. Fluid restriction
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