#icushort 34: Rate of correction in hyponatremia

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Rate of correction in hyponatremia

@TheICUChannel

#esbicm #shorts #icushorts
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Hyponatremia=12 letters, first day 12 and subsequent days 6.

pgpg
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hyponatremia that did not occur in hospital, that is within 48 hrs prior, must never be corrected with hypertonic saline, it must be slowly increased through liquid food, when low sodium is a result of liye sodium intake, that to with hypovolemia it must be corrected judiciously at a very slow pace, not more than 4 points per day.

p.lakhyaharichandana
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Can u please share with example
Like if patient is CVS age 80 male.
On evaluation patient Na is 107 .
On examination patient is in altered sensourim.
Irritable.
How should I proced with 3% NACL.
As per formula it came out to be 35 ml/ hr.
But when i inform my consultant about the dose
He said no.
We just correct with 10 ml/ hs.
Maximum u can give upto 15ml/ hr...
Sir o don't know the reason behind this.
Can u explain??

drsachin
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Sur my mother is suffering from hyponatremia, could you help me

meetapatira
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at what rate do we give 3% hypertonic saline

ahmadgumman
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Sir does this rule apply to acute ? Means they say acute we can correct it easily without limit as there are less chances of brain to adapt to the osmotic changes

shahkhantil
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sir hypertonic saline use in cerebral edema how to use?

xyz
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Sir suppose one patient hv cerebral edema and on 3% ns
Now his Na is 165
We hv tried mannitol glycerol and dexa everything
Now only 3 percent can be continue

Can we give free water like d5 and furesemide to wash sodium and again start 3 percent ns

paediatricspotcases
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whats first line drug for cerebral edema

ahmadgumman