You are an EMT on duty for the marathon. It is an extremely hot day. You say to your partner, "This weather is likely to _____________ the risk of hyponatremia, because ______________ will cause the athletes to lose ______________."  

A.  increase, sweating, sodium
B.  decrease, urination, calcium
C.  decrease, shivering, potassium
D.  increase, panting, oxygen

Clarify Question
· What is the key concept addressed by the question?
· What type of thinking is required?

Gather Content/Choose Answer
· What do you already know about hyponatremia? What other information is related to the question?

Reflect on Process
· Did your problem-solving process lead you to the correct answer? If not, where did the process break down or lead you astray? How can you revise your approach to produce a more desirable result?


A.  increase, sweating, sodium

Clarify Question
· What is the key concept addressed by the question?
        o The causes and consequences of hyponatremia.
· What type of thinking is required?
        o The question is asking you to analyze the effects of marathon running on the risk of hyponatremia.

Gather Content/Choose Answer
· What do you already know about hyponatremia? What other information is related to the question?
        o To solve this problem, you’ll need to remember that hyponatremia is low blood sodium. Running on a hot day increases sweating, not urination, and sweat contains significant amounts of sodium. Increased sweating increases the risk of hyponatremia.

Reflect on Process
· Did your problem-solving process lead you to the correct answer? If not, where did the process break down or lead you astray? How can you revise your approach to produce a more desirable result?
        o If you figured out the correct answer, good job! If not, where did you go wrong? Did you think that athletes lose too much potassium in sweat? That is true, but the pre-question paragraph explains that hyponatremia is referring to low sodium, not low potassium.

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