Hyponatraemia Flashcards
1
Q
Presentation
A
Severe - seizures
2
Q
History of lung cancer diagnosis and antidepressant use
A
Consider SIADH causing hyponatraemia
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
4
Q
Chronic hyponatraemia mx
A
Demeclocycline
Tolvaptan
5
Q
Consequences of hyponatraemia
A
Cerebral oedema - brain herniation
6
Q
Hypovalaemic cause
A
0.9% saline
7
Q
Euvolaemic cause
A
Fluid restriction
8
Q
Hypervolaemic cause
A
Fluid restriction
Loop diuretics