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Sodium decrease
My father's sodium value was 117 in the morning. He got admitted and sodium was given to him. After 12 hours, now his sodium is 114 . Is it possible that value decreases after giving sodium through IV?
Answers (19)
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✓Most likely SIADH (Syndrome of Inappropriate ADH secretion) ..
usually it's Seen with infections, stroke, medications, pain, nausea ..
Next Steps
✓some tests like Serum osmolality,
Urine sodium & urine osmolality,
Thyroid function (TSH) and
Serum cortisol needs to be done .
Health Tips
✓Sodium can fall even after IV treatment if the body is retaining excess water.
✓The problem is not lack of sodium, but imbalance of water hormones.
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Yes it is very much possible. Detailed history will be required.
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Yes it is possible.. reasons can be achieved by details history and some more test..
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While we are giving sodium correction, we’ll have to look for the cause of decreased sodium and eliminate it. Also don’t worry rapid correction is usually avoided, hence for a sodium level of 117 it will take 2-3 days to get it to the normal levels. You can opt for online consultation for detailed assessment and other queries.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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It is a case of symptomatic hyponatremia.
Can you provide patient’s any drug intake history and other medical history. Because it can be due to multiple causes.
Next Steps
Advise- RFT, ABG, serum osmolarity, urine osmolarity, urine spot sodium, urine routine, fasting lipid profile, TFT, serum random cortisol for further evaluation.
Health Tips
It is medical emergency, we have to improve serum sodium very cautiously according to guidelines.
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Yes u can use tab sodamide three times
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Please share detailed medical history. Is he on water pills, is he eating well? Give him tab sodamint 3 times daily.
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Yes there is chances of decreasing sodium despite of giving sodium iv due to excess water or hormonal responses
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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More fluids r given
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Yes, it is possible for sodium to decrease even after giving sodium through IV, and this situation is not uncommon, especially in severe hyponatremia.
Next Steps
Do not panic, but do not ignore it either.
This situation requires experienced medical supervision, which he is already getting by being admitted.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Correction to be given
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Dr. B R S Kumar
General Physician
25 yrs exp
Hyderabad
This is a serious blood result and please be guided by doctors treating your father and would advise against making your own assessments.
(We use the following phrases to help manage cases like this with low sodium:
*Symptomatic
*Acute vs recurrent vs chronic
*Volume status
*Trigger/s
*Sodium loading
*Slow correction ie 8-10mmol/L to avoid Osmotic demyelination)
All the best.
J G S R clinic
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Dr. Abeed Ahmed
Diabetologist
11 yrs exp
Hyderabad
Hyponatremia in elderly have multiple causes .drugs like antihypertensive hydrochlorthiazide most common…even after iv Na not correcting meaning . On going Na loss is there ..so look for causes. Admit best set up because wrong admission of Na may cause demyelination syndrome means lower lim paralysis . Na is critically low may cause seizures
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Get admit in best critical care set up unit hospital
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
6 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Yes, it's possible.
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