
IBCC Episode 94 - Hyperosmolar Hyperglycemic State
The Internet Book of Critical Care Podcast
00:00
How to Treat Hypernatrema?
H h s is more like a hyper natrema ethos, where it took a long time for them to get here. A lot of these patients are kind of in meta, stable, compensated state. And just like your patient with severe hypernatrema, and like an ok mental status, if you do things too quickly, you can really mess things up a lot. So thinking about that, josh, how do we select our volume, and how fast are you going to crank that down? The first step is going to be fluid resuscitation. For a hyprotonic patient who needs large volume resuscitation, you can basically start with some sort of isotonic or isot
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