Lab Case 22 – Interpretation

Elderly male from nursing home presents critically unwell with severe hypernatraemia following a seizure.


1. Seizure and altered mental state – secondary to high sodium, intracranial haemorrhage, other.

2. Tachycardia and low blood pressure for age – shock, large fluid deficit

3.  Life threatening hypernatraemia

4. Possible end of life situation  Continue reading