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A vicious cycle of causes and consequences of dyspareunia: rethinking the approach to management of genitourinary syndrome of menopause

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In precepting med-surg and step-down, Ive seen the best outcomes when nurses use a simple framework: confirm hypotonic hypernatremia, estimate the free-water deficit, choose fluids that match the physiology (DI vs dehydration vs osmotic diuresis), and correct slowly to avoid cerebral edema

Studies suggest that CCH1 may be an effective treatment for constipation (21)