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Metabolic Brain Disease

Erschienen in:

01.03.2010 | Original Paper

100 cc 3% sodium chloride bolus: a novel treatment for hyponatremic encephalopathy

verfasst von: Michael L. Moritz, Juan Carlos Ayus

Erschienen in: Metabolic Brain Disease | Ausgabe 1/2010

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Abstract

Hyponatremic encephalopathy is a potentially lethal condition with numerous reports of death or permanent neurological injury. The optimal treatment for hyponatremic encephalopathy remains controversial. We have introduced a unified approach to the treatment of hyponatremic encephalopathy which uses 3% NaCl (513 mEq/L) bolus therapy. Any patient with suspected hyponatremic encephalopathy should receive a 2 cc/kg bolus of 3% NaCl with a maximum of 100 cc, which could be repeated 1–2 times if symptoms persist. The approach results in a controlled and immediate rise in serum sodium with little risk of inadvertent overcorrection.

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Titel: 100 cc 3% sodium chloride bolus: a novel treatment for hyponatremic encephalopathy
verfasst von: Michael L. Moritz
Juan Carlos Ayus
Publikationsdatum: 01.03.2010
Verlag: Springer US
Erschienen in: Metabolic Brain Disease / Ausgabe 1/2010
Print ISSN: 0885-7490
Elektronische ISSN: 1573-7365
DOI: https://doi.org/10.1007/s11011-010-9173-2

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