A patient with chronic SIADH has sodium 119 mmol/L. During correction, sodium rises by 10 mmol/L in six hours and urine output increases. What is the

Question

A patient with chronic SIADH has sodium 119 mmol/L. During correction, sodium rises by 10 mmol/L in six hours and urine output increases. What is the best response?

Accepted Answer

Stop correction; give desmopressin and free water as needed

Answer

Give loop diuretic with urine-output and sodium reassessment

Answer

Begin vaptan therapy with daily sodium and liver-function review

Answer

Continue hypertonic saline until sodium is in the reference range

Answer

Use isotonic saline with serum and urine osmolality reassessment

SIADH from lung cancer — RCPSC IM MCQ

A patient with chronic SIADH has sodium 119 mmol/L. During correction, sodium rises by 10 mmol/L in six hours and urine output increases. What is the best response?