Hyponatraemia Flashcards

1
Q

Presentation

A

Severe - seizures

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2
Q

History of lung cancer diagnosis and antidepressant use

A

Consider SIADH causing hyponatraemia

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3
Q

Treatment of acute severe symptomatic hyponatraemia

A

Hypertonic saline 3% NaCl in HDU
150ml and recheck bloods after 30 mins
Second bolus if increase of 5mmolnof Na not achieved

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4
Q

Chronic hyponatraemia mx

A

Demeclocycline

Tolvaptan

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5
Q

Consequences of hyponatraemia

A

Cerebral oedema - brain herniation

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6
Q

Hypovalaemic cause

A

0.9% saline

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7
Q

Euvolaemic cause

A

Fluid restriction

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8
Q

Hypervolaemic cause

A

Fluid restriction

Loop diuretics

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