Sodium Correction: Sodium level 129 requires immediate medical supervision. You should consult his operating surgeon or an internal medicine specialist. They may need to administer IV saline or specific sodium-correcting fluids. Caution: Sodium must be corrected slowly to avoid neurological complications. ​Fluid Management: Since he is already taking ORS twice a day, ensure he isn't drinking excessive plain water, which can further dilute the sodium in his blood. ​Environmental Support: Keep his room well-lit during the day and very dim/quiet at night to help reset his sleep-wake cycle. Use familiar objects or photos nearby to keep him 'oriented' to his surroundings. ​Nutrition: Try small, frequent high-protein feeds. If he dislikes the taste of everything, consult a dietician for electrolyte-balanced liquid supplements that are easier to consume than solid food. ​Monitor Sugar: His morning sugar (78) is on the lower side of normal. Ensure he gets some form of glucose/carbohydrates regularly to prevent hypoglycemia-induced confusion.

For a detailed sodium-correction plan, a review of his full electrolyte panel, and direct follow-up on his mental status, you can consult me directly through my profile.