The management of patients presenting with hypernatraemia: is aggressive management appropriate?

Hypernatraemia is a common finding among patients presenting to hospital. The aim of this observational study was to discover what types of patients presented with hypernatraemia and whether they were appropriately managed. The management of hypernatraemia was audited against common standards of care.

Problem based review: the morbidly obese patient.

A 46-year old lady presented to the AMU with chest pain and shortness of breath. She weighed 345 kg. She was normally mobile up to 10 metres but had become bedbound over the past week with increasing shortness of breath.