A 70-year-old woman presents with confusion and hyponatraemia (Na 118 mmol/L) after starting thiazide. She is euvolaemic and asymptomatic. Best initia...

Question

A 70-year-old woman presents with confusion and hyponatraemia (Na 118 mmol/L) after starting thiazide. She is euvolaemic and asymptomatic. Best initial management?

Accepted Answer

Fluid restriction and stop thiazide

Answer

Hypertonic saline

Answer

Increase thiazide dose

Answer

Oral urea immediately

Answer

No action

ukmla MCQ (SBA): Thiazide-induced hyponatraemia

A 70-year-old woman presents with confusion and hyponatraemia (Na 118 mmol/L) after starting thiazide. She is euvolaemic and asymptomatic. Best initial management?