Consider the types of fluid and electrolyte imbalances she may have, and what kinds of clinical manifestations due to these imbalances.

Consider the types of fluid and electrolyte imbalances she may have, and what kinds of clinical manifestations due to these imbalances.

A 92-year-old nursing home patient is brought into the emergency department with hyperosmolar hyperglycemic nonketotic coma (HHNC). Her fluid and electrolyte imbalances are at a critical level. Consider the types of fluid and electrolyte imbalances she may have, and what kinds of clinical manifestations due to these imbalances.