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What is All are used for management for hypernatremia except? and explain in detail?
Hypernatremia is treated with free water intake by month or NG tube if patient is not obtunded. Dilute hypotonic fluids like 5% dextrose in water and N/2 in 5% water are given to decrease serum sodium at a rate of 0.3 mmol/Hr. Drug that stimulate vasopressin like chlorpropamide / indomethacin / carbamazepine and clofibrate will also increase water absorption from collecting duct and reduce serum sodium.