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Hypertonic Dehydration Case: A 62-year-old woman was admitted to the hospital because of vomiting after eating for 10 days and was diagnosed with pyloric obstruction. Her urine output was significantly decreased. The physical examination showed that her pulse is 90 times/minute, the blood pressure is 115/75mmHg, the respiratory rate is 12 times/minute. She manifested confusion and somnolence. In her laboratory tests, the urine specific gravity is 1.023 (normal range from 1.005 to 1.020) and the serum Na+ concentration is 158mmol/L (normal range from 130 to 150). Question