Wednesday, May 14, 2014

Hyponatremia Guidelines Part 5

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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