Treatment Of Severe Hyponatremia. Her abdomen showed tenderness. The modalities of treatment of severe hyponatremia have so far consisted of infusions of hypertonic saline plus fluid in the near future vasopressin antagonists will become available. The european guidelines recommend rapid infusion of 3 saline for severe or moderately severe symptoms without regard to chronicity of hyponatremia. Acute hyponatremia 48 h is usually observed in the postoperative period these patients need prompt treatment with hypertonic saline 3 to avoid epilepsia and respiratory arrest.
We present here a case of severe hypona tremia of unknown duration with the presenting plasma sodium level of 95 mmol l and use it to illustrate the various treatment strategies proactive reactive or rescue therapy along with the physiological basis to support. Treatment of severe hyponatremia principal discussant. Examination of the heart and lungs was normal. The modalities of treatment of severe hyponatremia have so far consisted of infusions of hypertonic saline plus fluid in the near future vasopressin antagonists will become available. Patients with chronic symptomatic hyponatremia 48 72. The european guidelines recommend rapid infusion of 3 saline for severe or moderately severe symptoms without regard to chronicity of hyponatremia.
Sustained water diuresis and a correction of hyponatremia.
Management includes instituting immediate treatment in patients with acute severe hyponatremia because of the risk of cerebral edema and hyponatremic encephalopathy. Peter gross universita tsklinikum carl gustav carus dresden federal republic of germany wasawake andfullyoriented. The modalities of treatment of severe hyponatremia have so far consisted of infusions of hypertonic saline plus fluid in the near future vasopressin antagonists will become available. Management includes instituting immediate treatment in patients with acute severe hyponatremia because of the risk of cerebral edema and hyponatremic encephalopathy. The european guidelines recommend rapid infusion of 3 saline for severe or moderately severe symptoms without regard to chronicity of hyponatremia. Acute hyponatremia 48 h is usually observed in the postoperative period these patients need prompt treatment with hypertonic saline 3 to avoid epilepsia and respiratory arrest.