Saturday, May 10, 2014

Hyponatremia Guidelines Part 3

Hyponatremia with moderately severe symptoms

** Start diagnostic workup
**Stop all meds and contributing factors
** Cause specific treatment(  of course)
**Suggest immediate treatment with bolus of 150ml 3% saline for 20 min( wonder if drip for few hours with equivalent mmol would be good enough as well)- level 2D though
**They suggest aim of 5mmol/l over 24 hours ( not 10, even lesser) level 2D
**The very next suggestion is limiting the increase over 24 hours to 10mmol/L( slightly confusing message)
**Checking serum Na at 1 hours, 6 hours and 12 hours
** This is the category that really needs more research as it’s the gray area. They suggest No suggestions for future research? 

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