E) The sodium level should be corrected no faster than 3-6 mEq/L every 24 hours
Diabetes insipidus after severe head trauma is a cause of hypernatremia. SIADH is a cause of hyponatremia. Seizures and altered mental status occur at levels of severe hyponatremia, generally < 120 mEq/L. Correction may utilize hypertonic saline, particularly in patients with severe symptoms. One scoop of powdered formula to 2 ounces of water is the correct mixing ratio; parents can cause hyponatremia if they use more water than that. The sodium level should not be corrected too quickly as osmotic demyelination (central pontine myelinolysis) can occur. A correction rate of 3-6 mEq/L every 24 hours
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September 10, 2024 at 2:14 pm
E) The sodium level should be corrected no faster than 3-6 mEq/L every 24 hours
Diabetes insipidus after severe head trauma is a cause of hypernatremia. SIADH is a cause of hyponatremia. Seizures and altered mental status occur at levels of severe hyponatremia, generally < 120 mEq/L. Correction may utilize hypertonic saline, particularly in patients with severe symptoms. One scoop of powdered formula to 2 ounces of water is the correct mixing ratio; parents can cause hyponatremia if they use more water than that. The sodium level should not be corrected too quickly as osmotic demyelination (central pontine myelinolysis) can occur. A correction rate of 3-6 mEq/L every 24 hours