What symptoms might you notice if your intake of sodium is chronically low?

What symptoms might you notice if your intake of sodium is chronically low?

Hyponatremia occurs when sodium levels in the blood are too low. Symptoms include lethargy, confusion, and fatigue. It can result from underlying conditions, such as kidney failure, or other factors, such as drinking too much water or taking certain medications.

What are the signs and symptoms of hyponatraemia?

When symptoms are present, they are often non-specific and are related to both the severity of the hyponatraemia and its rate of onset. Rapid changes in serum sodium levels or severe hyponatraemia can cause symptoms of vomiting, headache, drowsiness, seizures, coma, and cardio-respiratory arrest.

What are the CpG guidelines for hyponatremia?

As we are seeing more and more, the CPG uses the GRADE system. Most of the guidelines are either, not graded or are 1D and 2D with a few 1C’s. Section 5: A hyponatremia primer. Worth looking at. Well written and extensively referenced.

When to see an endocrinologist for hyponatraemia?

If the person has asymptomatic, moderate hyponatraemia, specialist advice from an endocrinologist should be sought regarding the need for admission or referral. If the person has asymptomatic, mild hyponatraemia, the underlying cause of hyponatraemia should be sought in primary care (if possible and appropriate).

What should I do if I have severe hyponatremia?

People with moderate to severe hyponatremia require thorough medical evaluation and treatment, usually in the hospital. For the sickest patients, we may replace sodium intravenously (straight into a vein) and really limit water consumption. Certain newer medications, like tolvaptan (Samsca®), may be used to correct blood sodium levels.

What are the signs and symptoms of hyponatremia?

Hyponatremia signs and symptoms may include: 1 Nausea and vomiting 2 Headache 3 Confusion 4 Loss of energy, drowsiness and fatigue 5 Restlessness and irritability 6 Muscle weakness, spasms or cramps 7 Seizures 8 Coma More

When to go to the hospital for hypotonic hyponatraemia?

The management of hypotonic hyponatraemia depends primarily on whether the onset is acute (i.e., <48 hours) or chronic (≥48 hours). This is because acute onset indicates the likelihood of cerebral oedema, which requires prompt treatment in a hospital.

How often should you do a bolus for hyponatraemia?

Boluses can be repeated as necessary, and then followed by an infusion of 0.5 to 1 mL/kg/hour to replete intravascular volume until signs and symptoms are no longer present. [1] Spasovski G, Vanholder R, Allolio B, et al; Hyponatraemia Guideline Development Group.

When does hyponatremia supervene in the elderly?

Nonetheless, most elderly persons have well preserved urinary diluting ability, and the development of hyponatremia is likely to supervene only when additional pharmacologic or pathologic processes are operant, as they frequently are with advancing age. Chronic hyponatremia is frequently multifactorial in the elderly ( 4, 8 ).