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8 Cards in this Set

  • Front
  • Back

Diagnosis of SIADH

Back (Definition)

Features of SIADH

It is characterised by euvolemia or mild volume expansion


Inappropriate urinary concentration->100mosm/kg


And high urine sodium(>20 mEq/L)

Treatment of SIADH

Fluid restriction


Furosemide


Oral salt supplementation

Treatment of cerebral salt wasting

Fludrocortisone

Treatment of hyponatremia

Back (Definition)

Substance that increase potassium entry into cells

Insulin ,beta agonist,alkalosis

Treatment of hypokalemia

0.5-2mEq/kg/dose IV KCl over 1-2 hrs


Oral supplementation


2-4 mEq/kg/day in 3-4 divided doses


Correct hypomagnesemia


Volume resuscitation with normal saline


Treat the cause

Treatment of hyponatremia

First treat hypotension-20ml/kg NS or RL


3-5 mL/kg 3%NaCl infused for 1 hour (3%saline infusion)


Continue till serum sodium -130mEq/L


In asymptotmatic


Treat cause


Calculate Na deficit-130-serum Na *0.6 *body weight