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On day 11 post-chemotherapy treatment, he was discharged home to continue with all oral repletions for orthostatic hypotension, as well as 2 liters normal saline to be given daily via central line.
This can be accomplished with aggressive IV hydration and oral sodium repletions (Hamdi et al.
Aggressive IV hydration in combination with oral sodium repletions and the use of midodrine and fludro-cortisone were necessary to maintain a functional status.