A 81-year-old in nursing home with confusion; Na+ 118 mmol/L, serum osmolality low, euvolaemic. Suspected SIADH secondary to SSRI. First-line manageme...

Question

A 81-year-old in nursing home with confusion; Na+ 118 mmol/L, serum osmolality low, euvolaemic. Suspected SIADH secondary to SSRI. First-line management?

Accepted Answer

Fluid restriction

Answer

Hypertonic saline bolus for all

Answer

Loop diuretic plus salt tablets

Answer

Stop SSRI only; no other action

Answer

Demeclocycline immediately

ukmla MCQ (SBA): SIADH

A 81-year-old in nursing home with confusion; Na+ 118 mmol/L, serum osmolality low, euvolaemic. Suspected SIADH secondary to SSRI. First-line management?