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Friday, April 24, 2009

Day #289 - Hypernatremia

Today we talked about a patient with decreased level of consciousness from hypernatremia.

This a great review of the topic.

The key in management is to provide free water at a rate that allows the serum sodium to decrease 10mmol/L/24h. This is usually accomplished after treating any severe ECF volume contraction with normal saline.

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