This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'Child with seizure plus hyponatremia treatment of choice ? \nSelect and explain. \nA. 0.9% NaCl, B. i/2 0.45% NaC1, C. Dextrose + NaC1, D. 3% NaC1', 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd ' i.e., 3% NaC1 Hyponatremia (Serum sodium < 130 meq/L). (Symptomatic when sodium < 120 meq/L). Fluid shift from ECF to neuronal cell. Results in cerebral edema which causes headache, drowsiness, seizure, coma. Treatment:? In low ECF volume & asymptomatic-give ORS/Normal saline. In complicated like seizure-give 3-5 ml/kg of 3% hypeonic saline to raise Na by 5 meq/Lit. Never do rapid correction (> 12 meq/Lit in 24 hour) can cause Central pontine myelinolysis (CPM).", 'role': 'assistant'}]