Addisonian crisis is characterized by low sugar and blood pressure level that may be associated with an auto-immune disorder. The IV must contain a normal saline solution of dextrose. Thus, option B is correct.
<h3>What is Addison's disease?</h3>
Addison's disease is commonly called hypocortisolism where the adrenal hormones are not produced in a significant amount. The level of cortisol and aldosterone produced is very less and is also marked by hyponatremia.
In hyponatremia, the level of water increases too much in the body that in turn decreases the sodium concentration. This leads to low blood pressure and low sugar levels. So to maintain the level of sodium ions normal saline solution must be administered.
The disease also includes treatment with vasopressors, glucose, and hydrocortisone to maintain the hormone level. The administration of insulin, and dextrose in 5% water, and in half-normal saline solution is inappropriate.
Therefore, option B. dextrose in normal saline solution must be administered in IV.
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Your question is incomplete, but most probably your full question was, A nurse knows that in the event of an Addisonian crisis, it is most appropriate to administer which of the following medications intravenously?
- Insulin
- Normal saline solution dextrose
- 5% in water dextrose
- 5% in half-normal saline solution
