Hypernatraeima

Question 1

Signs/Symptoms

Answer 1

• Dehydration
• Anorexia
• Weakness
• Confusion
• Drowsiness

Question 2

Causes

Answer 2

• Fluid loss (diarrhoea, vomiting, burns)
• Iatrogenic (too much IV saline)
• Diabetes insipidus

Question 3

Management

Answer 3

• Slow infusion of 5% dectrose or 0.9% sodium chloride
• Monitor electrolytes regularly
• Aim for a decrease of no more than 10mmol/l per 24 hours