In this video Joel Topf looks at how the treatment algorithms for uncompensated hyponatremia differ based on the severity of symptoms.
A 30 year-old female was BIBA to the ED following a seizure. She was running a marathon in hot weather. Nearing the end, after 5 hours running, she was seen fall to the ground and had a generalised tonic-clonic seizure.
Sodium is the major positively charged Cation in ECF. It determines ECF volume. Major intravascular ion to affect osmolality…..an acute increase or decrease in serum sodium will produce an increase or decrease in serum osmolality.
Syndrome Of Inappropriate ADH secretion (SIADH) is hyponatraemia due to an increase in concentration of ADH inappropriate to the current osmotic or volume status. The differential diagnosis includes ADH analogues
Hyponatraemia: common problem in ICU (30% of patients have a Na < 134mmol/L)
SIADH = Syndrome of inappropriate antidiuretic hormone secretion. Important cause of HYPOnatraemia
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department… Act II and epilogue
Seizures and hyponatremia in a 10 year-old boy - can you answer the questions and find the solutions to the case-based questions in this laboratory tester?