Figure 126

General guidelines for the treatment of symptomatic hyponatremia, A. Included herein are general guidelines for treatment of patients with acute and chronic symptomatic hyponatremia. In the treatment of chronic symptomatic hyponatremia, since cerebral water is increased by approximately 10%, a prompt increase in serum sodium by 10% or 10 mEq/L is permissible. Thereafter, the patient's fluids should be restricted. The total correction rate should not exceed 1.0 to 1.5 mEq/L/h, and the total increment in 24 hours should not exceed 15 mmol/d [12]. A specific example as to how to increase a patient's serum sodium is illustrated in B.

0 0

Post a comment