علاج نقص صوديوم الدم مع النوبات أو الغيبوبة أو الضائقة القلبية التنفسية

References

• Hyponatraemia, defined as a serum sodium concentration <135 mmol/l, is the most common disorder of body fluid and electrolyte balance encountered in clinical practice.
• We define 'severely symptomatic' hyponatraemia as any biochemical degree of hyponatraemia in the presence of severe symptoms of hyponatraemia.
• We recommend prompt i.v. infusion of 150 ml 3% hypertonic over 20 min (1D).
• Manage patients with severely symptomatic hyponatraemia in an environment where close biochemical and clinical monitoring can be provided (not graded).
• We suggest repeating therapeutic recommendations 7.1.1.1 and 7.1.1.2 twice or until a target of 5 mmol/l increase in serum sodium concentration is achieved (2D).