Wednesday, August 4, 2010
CONSULT ROUNDS: Management of BEER POTAMANIA
A nice algorithm is listed below; from an AJKD review recently on this topic:
Usually NPO in the first 24 hours
No IVFs unless symptomatic( VERY IMPORTANT), as they might correct very fast with just Normal Saline as you are increasing their solute load.
Keep checking Na every 2-3 hours
Correct rapid to 1-2meq in one hour if symptomatic else <<< 10 Meq/L in first 24 hours( may not need to do anything, usually self correct)
Relower serum sodium levels if necessary
Give all IV medications and nutrition via D5W only given their rapid correction rate
Low threshold to image the Brain.
Source: AJKD Beer potamania article
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