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Labs

The sodium of the patient who cannot reach the water

core

An 88-year-old with advanced dementia, admitted from a care home after five days of poor intake during a heat wave. Drowsy, dry, and slow to answer.

Results

TestAdmissionReference
Na164HH135145 mmol/L
K4.43.55 mmol/L
Cl126H98106 mmol/L
Urea21H2.58 mmol/L
Cr152H60110 µmol/L
Glu7.447.8 mmol/L
Hb156120160 g/L

Sodium 164 after days of deprivation. What is the correction plan built around?