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Treatment of symptomatic hyponatremia with hypertonic saline: a real-life observational study.

Irina ChifuAmelie GerstlBjörn LengenfelderDominik SchmittNils NaglerFassnacht MartinDirk Weismann
Published in: European journal of endocrinology (2021)
Sodium increase was more constant with hypertonic saline, but overcorrection rate was high, especially in severely symptomatic patients. Reducing bolus-volume and reevaluation before repeating bolus infusion might prevent overcorrection. Symptoms caused by hypovolemia can be misinterpreted as severely symptomatic hyponatremia and diuresis should be monitored.
Keyphrases
  • end stage renal disease
  • ejection fraction
  • newly diagnosed
  • chronic kidney disease
  • low dose
  • peritoneal dialysis
  • sleep quality