Underlying SIADH was initially treated with water restriction of 800 mL/24 h. Previously, he was given a trial of salt tabs, which he did not tolerate due to nausea and emesis. Due to profound hyponatremia, he was started on 2% hypertonic saline. Once PNa levels reached 130 mmol/L, 2% ...
HYPONATREMIAUREASummary: Objective: Hyponatraemia in hospitalized patients is common and associated with increased mortality. International guidelines give conflicting advice regarding the role of urea in the treatment of SIADH. We hypothesized that urea is a safe, effective treatment for fluid restri...
HYPONATREMIAINAPPROPRIATE ADH syndromeELECTRONIC health recordsPATIENT safetyBackground: The syndrome of inappropriate antidiuretic hormone (SIADH) is usually treated with fluid restriction. This can be challenging in patients with obligate fluid intake for nutrition or medication. Pharmaceutical treatment...
Urea has been recently proposed for the management of hyponatremia linked to the syndrome of inappropriate secretion of ADH (SIADH). The objective of the study was to review the levels of evidence for treatment of hyponatremia associated with SIADH with urea. We performed a systematic review of ...
Urea has been recently proposed for the management of hyponatremia linked to the syndrome of inappropriate secretion of ADH (SIADH). The objective of the study was to review the levels of evidence for treatment of hyponatremia associated with SIADH with urea. We performed a: systematic review of...
HyponatremiaUreaUrine osmolalityFallBackground: Treatment options for chronic SIADH include water restriction (WR) and urea. The usefulness of urine osmolality to guide the choice of the treatment option is not clearly defined. We hypothesized that urine osmolality can indicate whether treatment with ...
"EFFICACY AND TOLERANCE OF VAPTANS COMPARED TO UREA FOR LONG-TERM TREATMENT OF PATIENTS WITH SIADH: A PROSPECTIVE STUDY." Acta Clinica Belgica, 65(1), p. 84InformaworldActa Clinica BelgicaSoupart A, Coffernils M, Couturier B, Gankam-Kengne F, Decaux G. Ef- ficacy and tolerance of urea...
Most Antidepressants have been associated with hyponatremia.The mechanism of this adverse effect is probably due the syndrome of inappropriate secretion of anti diuretic hormone(SIADH).Hyponatremia is a rare but potentially serious adverse effect of anti depressants that demands careful monitoring in those...
HyponatremiaWater restrictionVaptansSIADHUrine osmolalityCopeptinThe treatment of solute addition, Na and water losses in hyperglycaemic hyponatraemia is guided by clinical judgement rather than by a quantitative assessment. We devised an iteration method to compute glucose appearance (G(A)) within the ...