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Table 4 Treatment of hyponatraemia according to treating team’s working diagnosis. Patients with multiple diagnoses have been omitted. Patients with multiple treatment modalities have been counted under each treatment

From: Investigation and management of moderate to severe inpatient hyponatraemia in an Australian tertiary hospital

 

SIADH

Hypervolaemia

Non renal salt wasting

No diagnosis

Polydipsia

N (%)

24 (15.8)

25 (16.4)

29 (19.1)

48 (31.6)

8 (5.3)

Fluid Restriction

17 (70.8)

17 (68)

1 (4)

6 (12.5)

4 (50)

0.9% saline

1 (4.2)

1 (4)

23 (92)

7 (14.6)

2 (25)

3% saline

2 (8.3)

0 (0)

0 (0)

1 (2.1)

3 (37.5)

Fludrocortisone

1 (4)

0 (0)

0 (0)

0 (0)

0 (0)

No Treatment

2 (8)

2 (8)

1 (4)

32 (66.7)

1 (12.5)

0.9% saline ceased

1 (4)

0 (0)

0 (0)

0 (0)

0 (0)

Urea

5 (20)

0 (0)

0 (0)

0 (0)

0 (0)

Frusemide

0 (0)

9 (36)

0 (0)

1 (2.1)

0 (0)

Dialysis

0 (0)

1 (4)

0 (0)

0 (0)

0 (0)

Diuretics ceased

0 (0)

0 (0)

0 (0)

2 (4.2)

0 (0)

ACE inhibitor or Angiotensin II receptor blocker ceased

0 (0)

0 (0)

0 (0)

2 (4.2)

0 (0)