Question 1

what disorder(s) can cause fluid retention that leads to hyponatremia?

Accepted Answer

Fluid retention: There are many causes for fluid retention.
Have your doctor refer you to a Nephrologist.

Question 2

what is the most common etiology of hyponatremia once you have ruled out medication and fluid overload?

Accepted Answer

Kidney disease: If you don't have too much water, and your salt intake is adequate (you only need 100 mg of sodium per day, average american diet is 3000-10, 000 mg per day), then evaluate the kidneys. Sounds like they are leaking sodium.

Question 3

how much water would a person have to drink over a period of 12 hours in order to develop hyponatremia? i've drank about 9 cups of fluid in 12 hours, but i feel like that's too much. also, i have a mildly low k level (3.2), so is that too much h2o?

Accepted Answer

Low K: Yes you are drinking to much water!

Question 4

i have hyponatremia, low chloride and high tsh 12.8.  sodium went to 116.  many hospitalizations. take 10 1gr sodium tabs. fluid res?

Accepted Answer

Seems serious : Usually we get very concerned about a sodium less than 120.  There is a high chance for you to have a seizure at levels around 110-115 or lower. Yes, normally admitted patients with that level are initially fluid restricted to 1l free water per 24 hrs. You need to see your doc on this one as it could be caused by medicines or other things. Don't blow this one off ! see an internist or family doc !

Question 5

subarachnoid hemorrhage 5 mths ago = chronic hyponatremia. mgmt low fluid, salt & urena. told 12 wks max meds. high bun/strained organs.  told to stop urena. na fell 139 to 122 in 1 wk! resumed urena. how long does hyponatremia last after hemorrhage?

Accepted Answer

: It may take few months to a yr depending on the level of injury you sustained. Continue to follow with your Neuro list and endocrinologist if not getting better

Question 6

i have long standing hyponatremia, low chloride plus high tsh 12.8. i have been hospitalized mult times had  seizure.  taking 10 1gr sodium. fluid res?

Accepted Answer

FInd out why: I trust you are not taking a diuretic for some reason, and i trust you do not have inappropriate ADH (vasopressin) secretion due to porphyria or some other illness. Especially, i hope you don't have undiagnosed addison's disease especially with the high TSH (possible schmidt's). Have you been evaluated for one of the syndromes of renal sodium wasting?

Question 7

how effective are iv fluids for treating dysentery?

Accepted Answer

Life saving: Fluid repletion is critical in dysentery since most of the patients who do not survive go eventually in renal failure. Only few types benefit from antibiotics.

Question 8

what types of iv fluids are commonly used to bolus a patient?

Accepted Answer

Normal saline: Normal saline which is 0.9% salt in water is typically used in boluses, sometimes Ringer's in trauma, preferred by surgeons.

Question 9

what to do if patient hypovolemic doesn't respond to iv fluids?

Accepted Answer

Depends: This is not a simple answer. It really depends on the whole picture of the patient.  Could they have heart failure or kidney failure? More info is needed to answer completely and comprehensively.

Question 10

could a non-sick person live off of iv fluids?

Accepted Answer

Sure: Some of the IV fluids contain all the protein, carbohydrates and fat that your body needs to survive. Its called total parenteral nutrition. If you took these by your mouth and were able to absorb them you would live. It usually is given by IV because the GI tract is not usually able to absorb these fluids.

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Doctor answers about:

Iv fluids for hyponatremia

A member asked:

What disorder(s) can cause fluid retention that leads to hyponatremia?

A member asked:

What is the most common etiology of hyponatremia once you have ruled out medication and fluid overload?

A member asked:

How much water would a person have to drink over a period of 12 hours in order to develop hyponatremia? i've drank about 9 cups of fluid in 12 hours, but i feel like that's too much. also, i have a mildly low k level (3.2), so is that too much h2o?

A member asked:

I have hyponatremia, low chloride and high tsh 12.8. sodium went to 116. many hospitalizations. take 10 1gr sodium tabs. fluid res?

A member asked:

Subarachnoid hemorrhage 5 mths ago = chronic hyponatremia. mgmt low fluid, salt & urena. told 12 wks max meds. high bun/strained organs. told to stop urena. na fell 139 to 122 in 1 wk! resumed urena. how long does hyponatremia last after hemorrhage?

A member asked:

I have long standing hyponatremia, low chloride plus high tsh 12.8. i have been hospitalized mult times had seizure. taking 10 1gr sodium. fluid res?

A member asked:

How effective are iv fluids for treating dysentery?

A member asked:

What types of iv fluids are commonly used to bolus a patient?

A member asked:

What to do if patient hypovolemic doesn't respond to iv fluids?

A member asked:

Could a non-sick person live off of iv fluids?

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