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Old 02-24-2014
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Default treatment for hyponatremia

in cases of mild hyponatremia , used normal saline and loop diuretics and as conrad fischers explains that the loop diuretics will prevent loss of solutes and allow only water to pass to urine , but loop diuretics mechanism of action include that they prevent reabsorption of NACL , ???
any explanations please
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Old 02-24-2014
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Quote:
Originally Posted by hydrocephalus View Post
in cases of mild hyponatremia , used normal saline and loop diuretics and as conrad fischers explains that the loop diuretics will prevent loss of solutes and allow only water to pass to urine , but loop diuretics mechanism of action include that they prevent reabsorption of NACL , ???
any explanations please
There will be some salt loss with loops hence you would also give salt tablets.
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Old 02-24-2014
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I think that the point here is to give normal saline in order to restore Na. Diuretics should be given to remove excess fluid, as a cause of dilutional hyponatremia.
And deffinitely, furosemide will cause loss of Na, among other electrolytes, by preventing formation of free water. So, again, I think that diuretic should be given only in case of hypervolemic hyponatremia and normal saline in case of hypovolemic. That's the whole point.
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