What is included in the inpatient care of hyponatremia?

Updated: Dec 28, 2018
  • Author: Kartik Shah, MD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Admit patients with severely symptomatic hyponatremia manifested by coma, recurrent seizures, or evidence of brainstem dysfunction to an ICU and monitor serum sodium levels closely.

Admit patients with a propensity toward inappropriate free water ingestion to a unit where free water access is restricted. Clozapine appears to be effective in the long-term treatment of schizophrenic patients with compulsive water drinking.

Discontinue medications known to be associated with hyponatremia. Thiazide diuretics are a well-known cause of profound hyponatremia, especially in elderly patients, and should be discontinued in all admitted patients.


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