A 25-year-old lady with submucosal fibroid was undergoing myomectomy. The surgeon was using 1.5 yo glycine as irrigating fluid for the cavity. During the surgery the nurse informs the surgeon that there is a 500m1 fluid deficit. What is the next step to be done?
(A) Stop the'surgery (B) Change the fluid to normal saline (C) Continue the surgery with careful monitoring of fluid status (D) Give furosemide to the patient and continue surgery
(C) Ans. C. Continue the surgery with careful monitoring of fluid statusRef. BSGE/ESGE guideline on manage,nent of fluid disrension metlia in operative hysteroscopy.Asymptomatic hypervolemia can be managed by fluid restriction with or without diuretics.Patient should be observed for symptoms of hyponatremia and continued electrolyte monitoring should be done.