SIADH

A case of Hyponatraemia Phyo Aung & Li-ni Lin

Ms JH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other medical conditions ,[object Object],[object Object],[object Object]

Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Social History ,[object Object]

On examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment ,[object Object],[object Object],[object Object],[object Object]

Initial Management ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

Carbamazepine ceased, commenced on levetiracetam

Sodium levels during admission iv N/Saline infusion started iv N/Saline infusion ceased carbamazepine ceased, levetiracetam started

Further investigations ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

1997 ,[object Object],[object Object],[object Object],[object Object]

Why Sodium disorder ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Presentation ,[object Object],[object Object],[object Object],[object Object]

Assessing Fluid Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment of Hyponatremia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment of severe acute hyponatremia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Danger of rapid correction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medical Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Syndrome of Inappropriate ADH Secretion Drugs Carcinoma Miscellaneous Pulmonary Diseases Neurological SIADH

Diagnosis Criteria for SIADH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Drugs commonly associated with hyponatremia Class Drug Mechanism Diuretic Amiloride /Hydrochlorothiazide Indapamide Depletion total body sodium SSRI Sertraline Citalopram and others SIADH MAOI Moclobemide SIADH Anticonvulsant Carbamazepine SIADH Antipsychotic olanzipine SIADH

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SIADH

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SIADH

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