Paediatricsniche
A 9-year-old girl is on day three of treatment for pneumococcal meningitis and has been receiving intravenous sodium chloride 0.9% with glucose 5% at full maintenance. She is more drowsy today. Her weight has risen 0.9 kg since admission, there is no oedema, her blood pressure is 104/62 mmHg and capillary refill is under two seconds. Serum sodium is 124 mmol/L (135-145), serum osmolality 258 mmol/kg, urine sodium 82 mmol/L and urine osmolality 610 mmol/kg. Which one of the following changes to her fluid order is most appropriate?