Hyponatremia hypertonic saline calculator download

The calculator then automatically computes the infusion rate for hypertonic saline 3%, which is usually reserved for severe hyponatremia sodium hypertonic saline 3% saline may be provided in a dose of 2 mlkg body weight e. Sodium chloride intravenous administration adult ismp canada. Of the 204 patients with hyponatremia in this study, only 10 received hypertonic saline, a number too low to be independently analyzed. Hypertonic saline is used to treat severe symptomatic hyponatremia. The main drawback is that it often takes a long time to receive from the pharmacy. Sodium containing fluids hypertonic saline solutions 3 or 5% fluid restriction increase dietary sodium possibly loop diuretics if normal or excess fluid volume. The adroguemadias formula revisited american society of. Hypertonic saline was first used to treat hyponatremia in 1938, and it is still generally accepted as the treatment of choice for hyponatremic emergencies 2,3. Hypertonic saline, hyponatremia, normal saline infusion, 3% saline.

This program simply calculates values and does not determine whether the generated values are clinically appropriate. Calculate is a nextgeneration clinical calculator and decision support tool freely available to the medical community. Avoid common mistakes when treating hyponatremia acp. But in euvolemic patients with siadh, the infused sodium and chloride will be excreted in a volume of urine that is less than the volume infused, leading to the retention of free water. Please note that 3% saline is safe to administer through a peripheral line. Hypertonic saline is usually reserved for severe hyponatremia sodium calculator targets a level of 120 or 125 meql and determines the rate necessary to increase the serum sodium at 0. However, we do not give hypertonic saline if the hyponatremia is already autocorrecting evaluation and management of elevated intracranial pressure in adults view in chinese with growing familiarity of use, hypertonic saline has increasingly been employed as a firstline agent, supplanting mannitol at numerous institutions. Utilization of fluid loss formula in the management of hyponatremia is only required when ongoing. Normal saline causes an initial increase in serum sodium concentration because it is hypertonic to the serum of patients with hyponatremia, she explained. Hypertonic saline calculator for severe hyponatremia and normal saline calculator for mild hyponatremia. Use with the sodium deficit in hyponatremia calculator which estimates the total amount of sodium that needs to be replaced do not forget to correct the hyponatremia level in hyperglycemic patients with the sodium correction for hyperglycemia calculator typically, hypertonic solutions are reserved for patients who are overly symptomatic, such as those with.

A bolus of 100 to 150 ml of hypertonic 3% saline can be given to correct severe hyponatremia. The adroguemadias formula underestimates increase in sodium concentration after hypertonic saline therapy. The hypertonic and normal saline infusion calculator from globalrph allows users to enter a patients weight in lbs or kg, gender male, female, elderly male, elderly female, and current sodium level expressed as meql. In severe cases, the maximum sodium increase within the first 24 hours should not exceed. Hypertonic and normal saline calc original globalrph. However, in many medical centers, hypertonic saline is rarely used. Sodium correction rate for hyponatremia calculate by qxmd.