Treating the Hyperglycaemic, Hyperosmolar, Hypernatraemic Patient

hyperglycaemia hypernatraemia hyperosmolar

An 84 year old male has been brought into the emergency department. He has been found at home, confused, by a visiting neighbour. On arrival to the emergency department, the patient’s observations are: GCS 14/15, T 38.6 C, Pulse 143bpm and saturations of 94%. His clinical examination is normal apart from right basal crepitations. His…

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CASE A 76 yo woman is sent in from the nursing home with myoclonic jerks. She has a past medical history of slight dementia and seizures. Her GCS is 13-14/15. On arrival she has constant myoclonic jerks. Initial Blood tests reveal the following: Na 165 K 3.6 Cl 112 U 12 Cr 112 You make…

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