8th July 2024

An 88-year-old man is referred by his GP with lethargy and shortness of breath

An 88-year-old man is referred by his GP with lethargy and shortness of breath. He is seen by the acute team who diagnose a community acquired pneumonia. He is normally a nursing home resident and has Alzheimer’s dementia. Bloods demonstrate a sodium of 155 mmol/L. His bloods were last checked 2 months ago and demonstrated a normal sodium. He has dry mucous membranes, is tachycardic at 110, BP is 94/60 mm/Hg, he is also pyrexial. He is on IV Amoxicillin.

What is the most appropriate management strategy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.