Avoid Risky Hypotonic IV Fluids to Treat Hypernatremia
Errors continue to occur when using IV fluids to treat HYPOvolemic HYPERnatremia.
Jump to IV fluids instead of enteral replacement if these patients are hemodynamically unstable or NPO...or have severe symptoms (seizure, etc).
Correct hypovolemia first with normal saline or balanced fluids (lactated Ringer's, etc). Fluids such as D5W aren't a good option for hypovolemia, since they quickly leave the intravascular space.