An 80 year old man from a nursing home presents with a generalized seizure.

GCS 12 (M5V3E4)

PR 105/min

BP 126/70

T 36.8

O2 sats 97% RA

Describe and Interpret his lab results

Na 183  (137-145 mmol/l)

K 4.9 (3.3-5 mmol/l)

CL 137 (99-111 mmol/l)

HCO3 25 (22 -26)

Urea 23.5 (3-8 mmol/l)

Creat 105 (<130 mmol/l)

Glucose 6.9 (3.4-6 mmol/l)

What are your treatment priorities?