Hypernitrimar - Is There a Decrease in Free Water?

When we think about evaluating a patient who has hyper nitrimar goin to go down those two steps. First, assessing the patient's water intake and see is there decrease free water intake. This could be mediated by things like decreased access to free water. The other thing is that somebody may not have access to water. And then we get into this rarer, but at times clinically relevant category of developing hyper netrina - which is from an increased bicarbaylate intake.