Document Detail


Management of hyponatremia: providing treatment and avoiding harm.
MedLine Citation:
PMID:  20889809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hyponatremia, in its most severe form, requires urgent infusion of hypertonic saline to correct cerebral edema. However, overly rapid correction of chronic hyponatremia can cause osmotic demyelination syndrome. The authors review the treatment of hyponatremia in order to provide clinicians with a sound approach in a variety of settings in which severity, symptoms, and underlying disease states influence therapy. Also discussed is the current role of vasopressin antagonists in treatment.
Authors:
Chirag Vaidya; Warren Ho; Benjamin J Freda
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cleveland Clinic journal of medicine     Volume:  77     ISSN:  1939-2869     ISO Abbreviation:  Cleve Clin J Med     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2010-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703441     Medline TA:  Cleve Clin J Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  715-26     Citation Subset:  IM    
Affiliation:
Tufts University School of Medicine, Renal Division, Baystate Medical Center, MA, USA.
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MeSH Terms
Descriptor/Qualifier:
Brain Edema / etiology
Demyelinating Diseases / etiology
Diuretics / adverse effects,  therapeutic use
Extracellular Fluid
Fibrosis
Fluid Therapy
Humans
Hyponatremia / complications,  diagnosis*,  drug therapy*
Inappropriate ADH Syndrome / etiology
Osmolar Concentration
Practice Guidelines as Topic
Receptors, Vasopressin / antagonists & inhibitors
Saline Solution, Hypertonic / administration & dosage,  adverse effects,  therapeutic use*
Sodium / adverse effects,  therapeutic use
Chemical
Reg. No./Substance:
0/Diuretics; 0/Receptors, Vasopressin; 0/Saline Solution, Hypertonic; 7440-23-5/Sodium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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