Fluids and electrolytes

Fluid status should be monitored closely. Since dilutional hyponatremia is always present water restriction should be instituted first.

If hypoglycemia appears, 10 per cent hypertonic glucose-containing solutions should be administered. If the glucose osmotic diuresis is insufficient to correct hyponatremia, intravenous loop diuretics at progressive doses may be used to decrease the negative free-water clearance ( Nicolo.ffMl§D.d.MllLoPr§stj 1993). If severe hyponatremia and seizures are present, hypertonic saline infusion must be considered: hypertonic sodium chloride (514 mmol/l) should be delivered by a constant infusion pump at a rate set to increase the sodium concentration by about 1 mmol/l/h until neurological signs have disappeared.

Kicking Fear And Anxiety To The Curb

Kicking Fear And Anxiety To The Curb

Kicking Fear And Anxiety To The Curb Can Have Amazing Benefits For Your Life And Success. Learn About Calming Down And Gain Power By Learning Ways To Become Peaceful And Create Amazing Results.

Get My Free Ebook


Post a comment