siadh - ben

[ArchivalUser]

Initial Rx for the following Cases
1. ASx Pt w/ Na levels 120-130
2. Asx Pt w/ Na levels 110-120
3. Sx Pt w/ SIADH

[ArchivalUser]

2nd pat 3% nacl with frusemide

1st pat .9 nacl

3 . lithium , demeclocycline , water restr

[ArchivalUser]

1. ASx Pt w/ Na levels 120-130
2. Asx Pt w/ Na levels 110-120
Rx---NS for both
give hypertonic saline in 2nd one only if pt have neurolog compilane

3. Sx Pt w/ SIADH---restrict water intake,desme

[ArchivalUser]

1)ASx Pt w/ Na levels 120-130
NS AND DIURETICS

2)Asx Pt w/ Na levels 110-120
HYPERTONIC SALINE

3)Sx Pt w/ SIADH:
SAME DEPENDS...
MILD: FLUID RESTRICTION
MODERATE: NS AND DIURETICS
SEVERE:HYPERTONIC
CHRONIC:LITHIUM, DEMECLOCYCLINE[PREFERRED]

[ArchivalUser]

From UW

Initial Rx for the following Cases
1. ASx Pt w/ Na levels 120-130--Mild hyponatremia = Fluid restriction
2. Asx Pt w/ Na levels 110-120--Mod """"""""""''"' = Normal Saline plus loop diuretic
3. Sx Pt w/ SIADH----------------Sever '''''''''''''''''''' = Hypertonic Saline (3%) w/ or w/o loop

Demeclocyline is given to Asx Pt who ahave difficulties w/ water restriction unresponsive to Rx above. It acts on ADH anatagonist at DCT but since it takes a few day to kick in it is not recommended in acute ER situations