Q: Hyponatremia should be treated aggressively in hepatic cirrhosis patients who are not the candidates for liver transplant? (select one)
A) True
B) False
Answer: B
In contrast to hypokalemia, hyponatremia practically has no clinical effect on patients with liver cirrhosis unless until it is less than 120 mEq/L.
It requires treatment only in 2 cases
1. If neurologic symptoms appear to be related to hyponatremia
2. A patient is going for a liver transplant. In such a case, sodium should be raised to 130 mEQ/L. Again, care should be taken to avoid very rapid correction due to the risk of osmotic demyelination syndrome (central pontine myelinolysis).
#hepatology
#electrolytes
References:
Angeli P, Wong F, Watson H, et al. Hyponatremia in cirrhosis: Results of a patient population survey. Hepatology 2006; 44:1535.
A) True
B) False
Answer: B
In contrast to hypokalemia, hyponatremia practically has no clinical effect on patients with liver cirrhosis unless until it is less than 120 mEq/L.
It requires treatment only in 2 cases
1. If neurologic symptoms appear to be related to hyponatremia
2. A patient is going for a liver transplant. In such a case, sodium should be raised to 130 mEQ/L. Again, care should be taken to avoid very rapid correction due to the risk of osmotic demyelination syndrome (central pontine myelinolysis).
#hepatology
#electrolytes
References:
Angeli P, Wong F, Watson H, et al. Hyponatremia in cirrhosis: Results of a patient population survey. Hepatology 2006; 44:1535.
No comments:
Post a Comment