This is only a general question. if a patient has been diagnosed with sepsis and hypernatremia then, typically, how long after the diagnosis is made should the administration of iv fluid commence? is it particularly important.? i appreciate that medical

Here are some ...: Inserting IV-line ASAP is an essential part of caring for medical urgency/emergency. But how soon, how much, and how fast may widely vary depending on clinical need and access availability in staff and facility. These are commonsense matters.

Complex: Generally fluid is started quickly BUT how much and how vigorous gets tricky.Depends on the patient's vital signs, believed cause of the hypernatremia(acute vs chronic), how various organ systems are working(normal or no), and if known the patient's medical history.Patients with renal dysfunction,congestive heart failure,or a chronic hypernatremia or going to not respond to loads of fluids well.

Tricky: Correct the sepsis with antibiotics. the hypernatremia must be evaluated and corrected very slowly to prevent brain damage. First if the patient is hypovolemic free water is used to correct. The way to determine this is to weight the patient anjd if that weight is low use free water. If the sodium is 158meq or greater it must be treated with hypotonic solutions such a D5W.. This is asssuming tha