Hypertenacity Management

When do i go from hyperglycema to hypernatrima? So what'll often happen is you volume resuscitate the patient and then several hours later, the glucos reaches a happy point for you. As that happens, water shifts out of e vast qare space, and your sodium goes way up. And this is, as we mentioned before, kind of just unmasking this hyper nitrema. The management at the tail end of this resuscitation may be essentially, almost identical to the management of a patient with hyper nitremia. People under forty, be careful about correcting serumsodium or osmalalty too fast.