Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015

Question 1

what to learn about Exercise-Associated Hyponatremia (low sodium levels)

Answer 1

prevalence , etiology, diagnosis, treatment and prevention of EAH for medical personnel, athletes, athletic trainers, and the greater public.

Question 2

Hyponatremia

Answer 2

when Na+ io less than 135mmol/L, hyponatremia can result from loss of solutes (sodium, potassium), a relative excess of total body water or a combination of both.3,4, in most clinical scenarios, the driving force for the development of hyponatremia is a relative excess of total body water.5,6

Symptomatic EAH if rate fall is 7%-10 % in 24 hrs,

Question 3

Severe EAH

Answer 3

< 125mmol/L, modest serum sodium values (in the range of 125-130 mmol/L), that develop over a short period of time, can both be associated with signs and symptoms.8

Question 4

Symtoms with signs of mild EAH

Answer 4

Lightheaded ness, dizziness, nausea, puffiness, body weight gain from baseline

Question 5

Symtoms with severe EAH and EAHE

Answer 5

Vomiting, headache, seizure, coma, impending brain herniation, Dyspnea, frothy sputum

Question 6

Tratemetn for mild EAH

Answer 6

restrict hypotonic and isotonic fluids until urinating freely, Concentrated bouillon cubes in125ml
3% NAcl
3-(5 sodium concentration liquids

Question 7

Treatment of severe EAH

Answer 7

100ml bolus, more concentrated NA+, SODIUM BICARBONATE SOLUTIONS.

Question 8

DRINK TO THIRST

Answer 8

MAINTAIN PLAMA OSMOLALITY, MINIMIZE HYPOATREMIA, PREVENT EXCESSIVE DEHYDRATION, MAITINA PLASMA VOLUME