Enter your email address and we'll send you a link to reset your password. This dosing tool is intended to assist with calculation, not to provide comprehensive or definitive drug information. Always double-check dosing of any drug and consult a pharmacist when necessary. Use with the Sodium Deficit in Hyponatremia calculator which estimates the total amount of sodium that needs to be replaced. Overly rapid correction, particularly in chronic hyponatremia, can lead to osmotic demylination syndrome ODS , previously known as central pontine myelinolysis CPM.
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Enter your email address and we'll send you a link to reset your password. This dosing tool is intended to assist with calculation, not to provide comprehensive or definitive drug information. Always double-check dosing of any drug and consult a pharmacist when necessary.
Use with the Sodium Deficit in Hyponatremia calculator which estimates the total amount of sodium that needs to be replaced. Overly rapid correction, particularly in chronic hyponatremia, can lead to osmotic demylination syndrome ODS , previously known as central pontine myelinolysis CPM. In most cases, sodium correction should be done in an ICU setting, especially with hypertonic fluids for replacement.
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The principal investigators of the study request that you use the official version of the modified score here. Log in to create a list of your favorite calculators! Log in. Sodium Correction Rate in Hyponatremia and Hypernatremia Calculates recommended fluid type, rate, and volume to correct hyponatremia slowly or more rapidly if seizing. When to Use. The proper rate of correction of hyponatremia is important.
Age range. Serum sodium. Rate of sodium correction. To avoid central pontine myelinolysis, sodium should not be corrected faster than 0. Result: Please fill out required fields. Next Steps. Creator Insights. Advice Correct hyponatremia carefully.
Do not forget to correct the hyponatremia level in hyperglycemic patients with the Sodium Correction for Hyperglycemia calculator. About the Creator Dr. Nicolaos E. Also from MDCalc
CAUTION!! AVOID OVER CORRECTION
Treatment of hypotonic hyponatremia often challenges clinicians on many counts. Despite similar serum sodium concentrations, clinical manifestations can range from mild to life threatening. Some patients require active management, whereas others recover without intervention. Therapeutic measures frequently yield safe correction, yet the same measures can result in osmotic demyelination. To address this challenge, we present a practical approach to managing hyponatremia that centers on two elements: a diagnostic evaluation directed at the pathogenesis and putative causes of hyponatremia, the case-specific clinical and laboratory features, and the associated clinical risk; and a management plan tailored to the diagnostic findings that incorporates quantitative projections of fluid therapy and fluid losses on the patient's serum sodium, balances potential benefits and risks, and emphasizes vigilant monitoring. These principles should enable the clinician to formulate a management plan that addresses expeditiously three critical questions: Which of the determinants of the serum sodium are deranged and what is the underlying culprit?
The Challenge of Hyponatremia
Fadem, M. All rights reserved. No part of this application may be duplicated without written permission from the author. All calculations must be checked for accuracy and confirmed before use, clinical or otherwise. All medical decisions must be based upon the clinical judgment of a licensed physician. Licensee or user assumes the duty to have any and all laboratory values or calculations verified by a licensed physician.