When blood sodium is high at 147.6 mmol/L, rehydration is needed to correct hypernatremia while treating the primary disease.
Hypernatremia is defined as sodium ions in the blood greater than 145mmol/L. There are mainly concentrated hypernatremia and sodium retention hypernatremia.
1. Concentrative hypernatremia, i.e. hyperosmolar water loss, is simply a loss of water greater than a loss of sodium, resulting in an increased concentration of sodium ions. Treatment includes early hydration with sufficient amounts of water, such as warm boiled water or light sugar water by mouth, and all intravenous fluids are replaced with 5% dextrose injection for preparation, while sodium intake is restricted.
2. Sodium retention hypernatremia is a decrease in sodium excretion by the kidneys, which is common, such as right heart failure and cirrhotic ascites. Treatment needs to actively treat right heart failure, cirrhotic ascites, can use furosemide for diuretic sodium excretion. For cirrhotic ascites, laparotomy can be used to extract the fluid if necessary. At the same time, attention should be paid to hydration, and the correction process needs to be slow to avoid triggering serious reactions such as cerebral edema.
Hypernatremia, it is recommended to consult a doctor in time, the use of drugs need to be under the guidance of a professional doctor.