A further 3ml/kg sodium chloride 3% should be administered if seizure continues and Na See Sodium Chloride 3% and 23.4% (Hypertonic Saline) Monograph - Medication Management Manual (internal WA Health only) Give an intravenous infusion of 3mL/kg sodium chloride 3% over 20 minutes (maximum 150mL/dose).Sodium should be corrected to 125mmol/L or until seizures stop if this occurs first:.Management of symptomatic hyponatremia 2,3 Notify Paediatric Critical Care (PCC) urgently and arrange for senior medical review. Symptomatic hyponatraemia is a medical emergency.Hyponatraemia is defined as serum sodium 20mmol/L for dehydration, but 8mmol/L/24 hours can lead to brain damage (central pontine myelinolysis). To guide PCH Emergency Department staff with the assessment and management of hyponatraemia. R ead the full PCH Emergency Department disclaimer. Clinicians should also consider the local skill level available and their local area policies before following any guideline. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. Clinical common-sense should be applied at all times. They are not strict protocols, and they do not replace the judgement of a senior clinician. These guidelines have been produced to guide clinical decision making for the medical, nursing and allied health staff of Perth Children’s Hospital.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |