A patient with chronic SIADH from small-cell lung cancer has sodium 124 mmol/L, no seizures or confusion, normal blood pressure and no need for

Question

A patient with chronic SIADH from small-cell lung cancer has sodium 124 mmol/L, no seizures or confusion, normal blood pressure and no need for urgent IV treatment. Which initial management principle is appropriate while the cause is treated?

Accepted Answer

Restrict free water and review medications, intake and sodium trend

Answer

Give isotonic saline with serial serum and urine electrolyte studies

Answer

Start desmopressin with unrestricted water and serial sodium monitoring

Answer

Give repeated hypertonic-saline boluses with serial neurologic and sodium review

Answer

Use furosemide with daily weight and sodium response monitoring

Central hypothyroidism — RCPSC IM MCQ

A patient with chronic SIADH from small-cell lung cancer has sodium 124 mmol/L, no seizures or confusion, normal blood pressure and no need for urgent IV treatment. Which initial management principle is appropriate while the cause is treated?