Correcting hypernatremia?,”1) Stabilize patient with normal saline (0.9%) until clinically euvolemic.2) Calculate his total body water (TBW).TBW = % water * weight (kg); where % water in males = 0.6; females =0.53) Calculate the effect of 1 L of the selected fluid on his current serum Na.Change in serum Na = (Infusate sodium – serum sodium)/(TBW+1 L)4) Divide this into the total amount Na is desired to be lowered over 24 h (i.e., 10-12 mEq/L).5) Account for obligatory 24-hour water loss of about 1.5 L.6) Convert to mL and divide by 24 for rate/hour.Electrolytes should be checked frequently, every 6-8 hours

Correcting hypernatremia?,”1) Stabilize patient with normal saline (0.9%) until clinically euvolemic.2) Calculate his total body water (TBW).TBW = % water * weight (kg); where % water in males = 0.6; females =0.53) Calculate the effect of 1 L of the selected fluid on his current serum Na.Change in serum Na = (Infusate sodium – serum sodium)/(TBW+1 L)4) Divide this into the total amount Na is desired to be lowered over 24 h (i.e., 10-12 mEq/L).5) Account for obligatory 24-hour water loss of about 1.5 L.6) Convert to mL and divide by 24 for rate/hour.Electrolytes should be checked frequently, every 6-8 hours

to ensure correction is occurring at the desired rate; adjust infusions as needed.”