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A case of Hyponatraemia Phyo Aung & Li-ni Lin
Ms JH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other medical conditions ,[object Object],[object Object],[object Object]
Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Social History ,[object Object]
On examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CXR
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment ,[object Object],[object Object],[object Object],[object Object]
Initial Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
iv N/Saline infusion started
iv N/Saline infusion ceased
[object Object],[object Object]
Carbamazepine ceased, commenced on levetiracetam
Sodium levels during admission iv N/Saline infusion started iv N/Saline infusion ceased carbamazepine ceased, levetiracetam started
Further investigations ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
On Discharge ,[object Object]
1997 ,[object Object],[object Object],[object Object],[object Object]
Why Sodium disorder ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Clinical Presentation ,[object Object],[object Object],[object Object],[object Object]
Assessing Fluid Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Hyponatremia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of severe acute hyponatremia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Danger of rapid correction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Medical Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anti diuretic hormone
Syndrome of Inappropriate ADH   Secretion Drugs Carcinoma Miscellaneous  Pulmonary Diseases Neurological SIADH
Diagnosis Criteria for SIADH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drugs commonly associated with hyponatremia Class  Drug Mechanism Diuretic  Amiloride /Hydrochlorothiazide Indapamide Depletion total body sodium SSRI  Sertraline Citalopram and others SIADH MAOI Moclobemide SIADH Anticonvulsant Carbamazepine SIADH Antipsychotic olanzipine SIADH
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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SIADH

Notas del editor

  1. SSPE = subacute sclerosing panencephalitis
  2. Premia = Medroxyprogesterone acetate; Oestrogens, conjugated = HRT Premarin = Oestrogens, conjugated Moduretic
  3. Where Sodium Normally Stays
  4. Tolerated weell to gradual decline over several days to weeks
  5. Close monitoring of serum electrolytes every 2 to 4 hours necessary to avoid overcorrection.
  6. MRI of Pontine demyelination: Hyperdense area over pontine where demyelination occur
  7. Red color results are patient’s result
  8. Patient was taking red color drugs