Hypertonic Solution

How do you approach this patient? I think there's two things that you look at somewhat simultaneously. One is, how significant is this type of trampia? Is 128 bad enough to be causing this guy to be altered and psychopathic, confused,. And is that something that we need to correct quickly? Or do we have time to take your time and plate safe? The other thing that you're going to want to consider is why is this happening? Why is this sodium low?"