Educational Pearl: Critical Care

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Oct 23, 2011, 2:19:26 PM10/23/11

to Qatar EM Residants Group

Hyponatremia and SAH

SAH and Electrolyte Disorders

Hyponatremia can be seen in up to 40% of patients with a SAH.
Most often, hyponatremia in patients with an SAH is due to SIADH or the cerebral salt wasting syndrome.
To date, hyponatremia has not been associated with poor outcome.
Treatment should focus on the underlying cause and often includes volume replacement with isotonic crystalloids (0.9% NaCl).

References

Wartenberg KE. Critical care of poor-grade subarachnoid hemorrhage. Curr Opin Crit Care 2011; 17:85-93

" And say : Oh my Lord ! advance me in knowledge. " Holy Quran [20:114]

DR. JALAL SALEH ALESSAI
EMERGENCY MEDICINE R4

HMC-QATAR
+97466674243

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