A practical treatment of hyponatraemia
Overgaard-Steensen, C.; Ring, T.
Ugeskrift for Laeger 174(15): 1016-1019
2012
ISSN/ISBN: 1603-6824 PMID: 22487408 Document Number: 661708
Hyponatraemia with cerebral symptoms is a medical emergency. Prompt management of airway, breathing and circulation together with repeated boluses of 2 ml/kg 3% NaCl constitute a rational treatment. The goal is remission of symptoms. After the initial correction, the main concern is to avoid overcorrection, thus reducing the risk of osmotic demyelination. P-[Na(+)] and diuresis must be measured frequently together with diuresis. Definitive treatment should be directed toward the aetiology.