Symptomatic hyponatremia

[Emilio Escobar]

Hi, everyone. I want wondering then you use 3% sodium cloride solution to correct symptomatic hyponatremia, do you use undiluted or add more some solution or strike water? Thanks in advance 

[Stefan Johansson]

I’d say it depends on the underlying pathogenesis. If the reason is iatrogenic or true Na loss.

Generally we aim to correct S-Na during 12-36 hours. We calculate the sodium deficit and administrer that amount during this time. 

We do never use undiluted sodium solution, always add to a larger volume (typically 8 or sometimes 16 mmol/L)

[Emilio Escobar]

thanks you

[Kedar Sawleshwarkar]

On 9/16/2020 at 9:41 AM, Emilio Escobar said:

Hi, everyone. I want wondering then you use 3% sodium cloride solution to correct symptomatic hyponatremia, do you use undiluted or add more some solution or strike water? Thanks in advance 

 

 We do add 0.5 -1 ml 3% NS in feeds especially to ELBW babies who are hyponatremic on full enteral feeds and continue till 37 weeks.