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Hyponatraemia

Prevalence
Causes
Clinical features
Investigations
Therapy
Prognosis
Therapy

Treat the underlying cause. a  
Ask for specialist advice if hyponatraemia fails to correct or recurs. d

Dehydration

  • Give 0.9% saline - avoid giving fluid too rapidly. c  
    Aim to correct sodium levels at 0.5 mmol/l per hour with a maximum rise of 12 mmol in 24 hours. d
  • Monitor urea and electrolytes regularly. d

 

No dehydration or oedema

  • Restrict water intake to 1.5 litres /day d followed by 1l/day if no response d  
    Aim to correct sodium levels at 0.5 mmol/l per hour with a maximum rise of 12 mmol in 24 hours. d
  • Consider demeclocylcine 300 mg eight hourly if no response. d

 

Oedema

  • Give frusemide b and monitor fluid balance carefully.

Expiry date: September 2005
Levels of Evidence used in grading these guides

Authors   T   Ringrose , CM   Ball
Reviewer   J V   Bonventre
CAT Writers   T   Ringrose , CM   Ball