HYPERNATREMIA

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SUMMARY

1. Represents a water deficit.

2. It does not occur unless the patient is unable to get to water (debilitated or H2O unavailable) or the thirst mechanism is defective.

3. These patients are always hyperosmolar, so the 1st step is determining volume status.


Reference(s)

Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].