A 34-year-old man presents with polyuria, polydipsia and confusion. Serum sodium is 118 mmol/L, glucose 5.3 mmol/L and he is having seizures. Accordin...

Question

A 34-year-old man presents with polyuria, polydipsia and confusion. Serum sodium is 118 mmol/L, glucose 5.3 mmol/L and he is having seizures. According to hyponatraemia management principles, what is the most appropriate acute therapy?

Accepted Answer

Hypertonic 3% saline bolus to rapidly increase sodium by about 4-6 mmol/L

Answer

Fluid restriction only

Answer

Isotonic 0.9% saline at maintenance rate

Answer

Rapid correction to normal sodium within a few hours

Answer

Thiazide diuretic to increase sodium

ca-mccqe1 MCQ (SBA): Severe symptomatic hyponatraemia

A 34-year-old man presents with polyuria, polydipsia and confusion. Serum sodium is 118 mmol/L, glucose 5.3 mmol/L and he is having seizures. According to hyponatraemia management principles, what is the most appropriate acute therapy?