PDF | On Jun 1, , Horacio J. Adrogué and others published Hyponatremia. J Am Soc Nephrol. Jul;23(7) doi: /ASN Epub May The challenge of hyponatremia. Adrogué HJ(1), Madias NE. N Engl J Med. May 25;(21) Hyponatremia. Adrogué HJ(1), Madias NE. Author information: (1)Department of Medicine, Baylor College of.
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CAUTION!! AVOID OVER CORRECTION
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Electrolytes need to be checked hyponatremiaa, and fluids adjusted as needed.
Licensee or user assumes the duty to have any and all laboratory values or calculations verified by a licensed physician. Do not exceed guidelines for correction.
All medical decisions must be based upon the clinical judgment of a licensed physician. Whenever using intravenous solutions post operatively, check serum electrolytes at least daily.
MedCalc: Hyponatremia & Hypernatremia
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The urine output may increase dramatically during correction, leading to over correction Over correction may result in osmotic demyelination, and although this may not be initially apparent, can be a very serious complication. Use of this formula stipulates the physician is highly familiar with the medical literature with respect to the management of hyponatremia.
No part of this application may be duplicated without written permission from the author. Intake and output need to be watched closely. Patients with severe acute symptomatic hyponatremia must be managed in the intensive care unit. Hyponateemia hypotonic fluids after surgery.
The licensee or user understand and agree that the technology and content of this application are provided for educational purposes only. All calculations must be checked for accuracy and confirmed before use, clinical or otherwise.
The challenge of hyponatremia.
Consult a nephrologist early. Formulas may overcorrect the serum sodium so one must use clinical judgment and monitor the serum sodium, intake and output very closely during the critical period. Nephrologists must monitor electrolytes and fluid output very closely.