Management: IV 3% NaCl, with frequent recheck of sNa+ Initial goal: ↑ sNa+by 6 mEq/L within the first 6 hours Should resolve any acute symptoms caused by hyponatremia If symptoms persist, then investigate other etiologies. After sNa+↑ by 6 mEq/L: ...
The review will be structured as responses to a series of questions, followed by a presentation of an algorithm for determining the most appropriate treatments for individual patients with SIADH based on their presenting symptoms. Journal of Hospital Medicine 2010;5:S18–S26. © 2010 Society of...
There are three essential laboratory tests in the evaluation of patients with hyponatremia that, together with the history and the physical examination, help to establish the primary underlying etiologic mechanism. (In general, the etiology of the hyponatremia directs its management.) These tests are ...
Unraveling the cause(s) of hyponatremia requires a sequential approach as depicted in Figs.1and2. The algorithm depicted in Fig.2is based on published works and guidelines [143,144] and studies have confirmed its appropriate diagnostic accuracy [145] provided that a meticulous step by step analy...
A diagnostic algorithm to guide clinicians who are confronted with similar cases is presented.doi:10.1159/000322240Hoorn, Ewout J.Hotho, DaphneHassing, Robert JanZietse, RobertS. Karger AGNephron PhysiologyEwout J.Hoorn, Pierre-MarcBouloux, VolkerBurst. (2012) 4 Perspectives on the management of...
A study was therefore made to review all clinical aspects about hyponatremia management in the critical care setting. The aim was to develop a Spanish nationwide algorithm to standardize hyponatremia diagnosis and treatment in the critical care patient....
hyponatremiahypertonic salineosmotic demyelinationadrenal insufficiencyCurrently available guidelines in the acute management of severely symptomatic hypotonic hyponatremia vary in their approach to the use of hypertonic saline. In the acute setting, deciding on when to implement available treatment algorithm ...
Conclusions The proposed algorithm can help clinicians in determining whether psychotropic medication should be stopped, reduced or substituted where SIADH is suspected with recommendations for sodium (Na+) monitoring. These recommendations preserve a role for clinical judgment in the management of ...
Conclusions: Based on this algorithm all patients were enabled for well-timed initiation of chemotherapy. Subsequently, the treatment with tolvaptan supported the treatment of the underlying SCLC disease and lead to an amelioration of the ECOG-performance status. Inaddition all patients benefit from ...
It may therefore be possible to develop a predictive algorithm based on a limited number of characteristics that provides clinical guidance for response to FR for any individual pt. However, further research is planned to explore other characteristics and pt sub-groups that may support the ...