C.L. is a 37-year-old female admitted to the NCCU with a SAH resulting from the rupture of an anterior communicating artery aneurysm, grade 2. Upon admission she was loaded with phenytoin (Dilantin) and started on nimodipine (Nimotop) and aminocaproic acid (Amicar). Gastrointestinal ulcer and deep vein thrombosis prophylaxis was instituted. On day two of hospitalization, she underwent surgical clipping of the aneurysm without incident. Postoperatively she was treated with large amounts of fluid to maintain her blood pressure and promote therapeutic hypervolemia to prevent or minimize cerebral vasospasm.
Her examination on the seventh day postoperatively was as follows:
J Neurosci Nurs. 2004;36(3) © 2004 American Association of Neuroscience Nurses
Cite this: Hyponatremia in the Patient With Subarachnoid Hemorrhage - Medscape - Jun 01, 2004.