Hypotension may also occur. In addition to sodium abnormalities, hyperkalemia from metabolic acidosis may occur. Hyperglycemia is a stress response. There is usually no need to treat this. Leukocytosis, as mentioned, is an expected stress response.
Leukopenia can occur in profound hypoxia.
Consider antibiotics for aspiration of dirty water. Educate caretakers to potential submersion risks of bathtubs, water pails, pools, lakes, streams and the ocean. Stress the need for close supervision by a responsible adult. If a single barrier is used to surround the pool, the house should NOT be used as part of the barrier. Encourage swimming lessons for all patients.