Articles Tagged With: hyponatremia
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Hyponatremia: Evaluation and Management in the Emergency Department
Hyponatremia is one of the most common electrolyte derangements among adults presenting to the emergency department and is associated with significant morbidity and mortality. A variety of factors and disease processes can contribute to the development of hyponatremia, varying in both chronicity and in subsequent symptomatology. Understanding the varied etiologies of hyponatremia is essential for the emergency physician to appropriately manage this electrolyte disorder, ensuring appropriate treatment and disposition in a common but potentially dangerous disease process.
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Florida Jury Awards $68 Million to Patient in Sodium Spike Case
Providers should understand a patient’s chart should be thoroughly and completely reviewed throughout treatment. In this case, it is clear on at least several occasions providers either did not notice the information in the medical record, or they did not review test results. They also failed to administer medications ordered by another practitioner.
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Rapid Intermittent Bolus of Hypertonic Saline May Be a Better Way to Correct Symptomatic Hyponatremia
In this randomized clinical trial, hypertonic saline given via rapid intermittent bolus therapy was as effective and safe as slow continuous infusion, and was associated with a lower rate of recorrecting treatment and higher efficacy in achieving goal sodium within one hour.
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Fluids and Electrolyte Management
MONOGRAPH: A clinical guide for pediatric maintenance fluid therapy, rehydration therapies, and sodium homeostasis.
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Hyponatremia in the Emergency Department
Sodium and water balance are closely linked, and abnormalities in one often occur in association with abnormalities in the other. Hyponatremia and disordered water balance are among the most common electrolyte disturbances seen in the emergency department (ED).