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30 lip 2019 · Principles for managing a low serum sodium 1. Severe hyponatraemia can be a medical emergency. 2. You should try and establish the likely cause of hyponatraemia AND the speed of onset of hyponatraemia as this will help guide management. This requires clinical assessment and blood and urine samples for laboratory testing. 3.
Hyponatraemia is a sodium < 133 mmol/l. In general investigate if persistently Na < 130 mmol/l. should be assumed if the rate of Na fall is uncertain. demyelination syndrome. even if symptoms not yet apparent. It is rare and most.
Hyponatraemia (Na+ <135mmol/L), an abnormal fall in the plasma-sodium concentration, usually with a simultaneous fall in the plasma osmolality, is not uncommon. Therapy is guided by the rate of development and degree of hyponatraemia, accompanying symptoms, and the state of water balance, and should also consider the underlying cause. 2.3.
Therapeutic trial of 0.9% saline (e.g. 1 litre over 12 hours) and recheck Na+ after 6 hours. If hypovolaemic, Na+ should increase. Patients with SIADH don’t improve or may worsen – discontinue fluids if so. Stop any drugs that can cause hyponatraemia, if appropriate. If thought to be drug induced this may be all that is required.
The purpose of this Clinical Practice Guideline was to provide guidance on the diagnosis and treatment of adult individuals with hypotonic hyponatraemia.
1 lis 2017 · Hyponatremia in elderly subjects is mainly caused by drugs (more frequently thiazides and antidepressants), the syndrome of inappropriate antidiuretic hormone secretion (SIAD) or...
1 lut 2019 · Thiazide-induced hyponatremia is one of the main causes of decreased sodium levels in elderly individuals. This review presents the current evidence regarding the thiazide-associated...
