a. The electrolyte imbalance suspected for this patient is Hypernatremia .
b. Other signs and symptoms that has to be assessed are :-
Cardiovascular :
- Tachycardia
- Hypertension
- Decreased cardiac contractility
Integumentary :
- Dry sticky mucous membrane
- Rough swollen red tongue
- Flushed skin
Renal :
- Thirst
- Increased urine output
Neuromuscular :
- Twitching
- Tremors
- Seizures
- Hyperreflexia
- Coma
- Agitation
- CNS irritability
c. The treatment that would be appropriate for this patient include :-
- Restore intravascular volume
- Determine time for correction on the basis of initial sodium concentration
- Administer fluid at constant rate over time for correction
- Follow serum sodium concentration
- Replace ongoing losses as they occur by Normal Saline.
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