What to do for over
correction?
1. Prompt relowering if increased >10mmol/L over
24 hours
2. Stop ongoing treatment
3. Nephrology or critical care/ endocrine consultation
to see if need for starting electrolyte free water or not and monitoring urine
output
4. Expert opinion re the use of ddavp 2ug
Was interesting
to note that the new Stern approach of using 3% and ddavp at the same time was
not really entertained. It was mentioned in the rationale discussion but more
robust trials are needed in that realm.
For full review:
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