... 112meg/l and exp
Hyponatremia - which interventions would be the most optimun for a patient with a serum sodium of?
- 25 Nov 2013 by rsanchez
- 10 April 2014
Hyponatremia is a condition in which the amount of sodium (salt) in the blood is lower than normal.
Treatment of Hyponatremia
The cause of hyponatremia must be diagnosed and treated. If cancer is the cause of the condition, radiation, chemotherapy, or surgery to remove the tumor may correct the sodium imbalance.
Other treatments depend on the specific type of hyponatremia.
Treatments may include:
Fluids through a vein (IV)
Medication to relieve symptoms
A sodium level of 112 is very low and should definitely be actively normalised.
The assumption is that the hyponatraemia was chronic in nature (ie did not develop within 48 h). Fluid restriction is regarded as the mainstay of treating SIADH but it is very slow and unsuitable for some (free water clearance should be calculated to assess feasibility). I would argue that vaptans are the optimum therapy to normalise serum sodium as they are faster and well tolerated (many patients find it difficult to fluid restrict as SIADH can increase thirst). Monitoring should be carrier out to avoid overly rapid correction as per the SPC recommendations.
Please see the guidelines by Verbalis et al in the American Journal of Medicine for more information.
Disclaimer: I am not a doctor. I have experience of data in SIADH through my work as a scientific writer
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