A mother brings her 6-year-old son, David, to the clinic

Patient is a 54-year-old female with PMH of hypertension and hyperlipidemia admitted with a pituitary adenoma s/p resection by neurosurgery. She was admitted to the neuro ICU for careful observation. POD#2 Na 148, BUN 5.7, Creatinine 1.2, Glucose 95, Urine output (foley) 3.5 liters/24 hours Calculate the plasma osmolality What are your top 3 differential diagnoses? What additional labs will you order? POD#3 Na 158, Chloride 130, BUN 12, Glucose 82, urine osmolality 127, urine Specific Gravity. 1.001 Urine output (foley) 6350ml/reported from night shift What is your final diagnosis? What is your treatment plan? What labs and nursing orders will you monitor daily?

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