Place foley for strict I/Os
Volume repletion with normal saline or lactated ringers solution
Patients will be water-deprived
Calculate water deficit: Water deficit (in Liters) = [(Body weight(kg)x0.6)x((Measured sodium/Normal sodium)-1)]
Serum sodium should not decrease by more than 10-15 mEq/L per day in chronic cases of hypernatremia
Over-aggressive reduction of serum sodium may result in cerebral edema secondary to presence of idiogenic osmoles the build up in brain cells when exposed to chronic hypernatremia
If patient acutely hypernatremic, idiogenic osmoles have not had time to build up in brain tissue and rapid correction of hypernatremia would not develop cerebral edema
Calculate water deficit: Water deficit (in Liters) = [(Body weight(kg)x0.6)x((Measured sodium/Normal sodium)-1)]
Over-aggressive reduction of serum sodium may result in cerebral edema secondary to presence of idiogenic osmoles the build up in brain cells when exposed to chronic hypernatremia
If patient acutely hypernatremic, idiogenic osmoles have not had time to build up in brain tissue and rapid correction of hypernatremia would not develop cerebral edema
Nephrogenic<unk> 
Low-salt, low-protein<unk> et
Hydrochlorothiazide 25mg BID
Indomethacin has greater effect at reducing urine output than ibuprofen
Low-salt, low-protein<unk> et
Hydrochlorothiazide 25mg BID
Indomethacin has greater effect at reducing urine output than ibuprofen
Diabetes insipidus
Water loss:
Dysuria
Decreased Intake
Polyuria
Water loss > Na loss
Acute urinary retention
Vomiting