Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with Na 100-110 - Symptoms improve with increasing Na ~5mEq 2. Goal correction of 0.5-1 mEq/hr - not to exceed 10-12 mEq/day 3. Overcorrection of Hyponatremia → Osmotic Demyelination Syndrome - Tx with 5% Dextrose in water @ 3cc/kg/h, loop diuretics, desmopressin MH/CCF/CWRU EM Res @MetroHealth_EM #Hyponatremia #Correction #goal #rate #management #nephrology
