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Why did the PNa rise initially to 153 mmol/l in this patient?

initially mmol patient pna Rise
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Why did the PNa rise initially to 153 mmol/l in this patient?

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Physiology principle 1. Concentration terms have numerators and denominators. Therefore the rise in PNa could be due to a rise in the content of Na+ or a decrease in the volume of water in the extracellular fluid (ECF) compartment (Figure 2).

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