What are treatment options for these natremias? - naperthrill

[ArchivalUser]

1. Severe Hypernatremia
2. Mild Hypernatremia
3. Hypovolemic Hyponatremia
4. Hypervolemic Hyponatremia

[ArchivalUser]

1. N.S and than switch to 1/2 N.S later on
2. N.S
3. N.S
4. fluid restriction

[ArchivalUser]

I thought that for Mild Hypernatremia we use .45 NS, also in kaplan notes i see 2 diff things for hypovolemic hponatremia, one says 3% NS, other says 0.9 NS

what is the right answer guys?

[ArchivalUser]

for mild hyponatremia, start with N.S than switch to 1/2 N.S
for hypovlemic hyponatremia, we use 3% saline only when it is severe hyponatremia to the point where pt has s/s confusion, stupor, seizure. if asymptomatic than only use N.S.
please correct me if i m wrong.