Info

🌱來自: checklist

Hyponatremia checklist

• Repeat BMP to verify hyponatremia.
• Check serum glucose to exclude hyperglycemia.
• Calculate corrected sodium for hyperglycemia.
• Consider emergent treatment with 3% IV NaCl for:
  • Severely symptomatic hyponatremia
  • Symptomatic acute hyponatremia or acute sodium decrease of > 10mEq/L
  • Known or suspected intracranial pathology or ↑ ICP
• Check serum osmolality.
• Check urine osmolality and electrolytes.
• Estimate volume status.
• Consider further diagnostics for hyponatremia based on serum osmolality.
• Stop administration of free water (IV or PO).
• Consider hypertonic saline and/or cause-specific treatment of hyponatremia.
• Check serum sodium frequently during correction with 3% NaCl.
• Monitor urine output for excessive diuresis.
• Begin management of sodium overcorrection if necessary.