--Na deficit: mmol Na = (Serum Na desired - Serum Na) x (TBW) where TBW = 0.6 x wt (kg)
--Plan to correct half the deficit over 24 hrs; Note: To raise Serum Na from 120 to 135 for a 70 kg pt, will require 4 lit of NS;
- Note: Rapid correction during acute treatment should NOT exceed - 20 mEq/lit rise in serum Na concentration during 1st 48 hrs of Rx; (otherwise may develop Central Pontine Myelinosis);
- Goal is to correct Serum Sodium to a minimum of 125 mEq/lit.
- Look at wt loss and orthostatics;
- mild hyponatremia is corrected orally with 10-20gm NaCl diet and 2-4 liters H2O/day;
- sodium may be given w/ Bicarbonate if acidosis is present;
- aggressive Rx involves NS infusion until clinically stabilized