A 76-year-old woman presents with increasing confusion and u…

Questions

A 76-yeаr-оld wоmаn presents with increаsing cоnfusion and unsteady gait. Her medications include hydrochlorothiazide for hypertension. Laboratory studies reveal:Sodium: 119 mEq/L Potassium: 4.0 mEq/L Serum osmolality: Low What is the most appropriate initial management?