A 45-year-old woman on ICU has a severe traumatic brain injury. Her ICP has been persistently 25 mmHg despite first-tier measures. The team decides t...

Question

A 45-year-old woman on ICU has a severe traumatic brain injury. Her ICP has been persistently >25 mmHg despite first-tier measures. The team decides to administer IV hypertonic saline (20%) 2 mL/kg. What is the target serum sodium range when using hypertonic saline for ICP reduction?

Accepted Answer

145-155 mmol/L

Answer

135-145 mmol/L (normal range)

Answer

155-160 mmol/L

Answer

160-170 mmol/L

Answer

No upper limit - use as much as needed to control ICP

uk-fficm MCQ (SBA): Traumatic Brain Injury

A 45-year-old woman on ICU has a severe traumatic brain injury. Her ICP has been persistently >25 mmHg despite first-tier measures. The team decides to administer IV hypertonic saline (20%) 2 mL/kg. What is the target serum sodium range when using hypertonic saline for ICP reduction?