ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

EVALUATION OF HYPONATREMIA IN PATIENTS WITH ISHEMIC STROKE

Dr. Naurina Noor, Dr. Uswa-E-Husna, Dr. Faizan Ayyub.

In the neurocritical care setting, hyponatremia is the commonest electrolyte disorder, which is associated with significant morbimortality. Cerebral salt wasting and syndrome of inappropriate antidiuretic hormone have been classically described as the two most frequent entities responsible of hyponatremia in neurocritical care patients. Nevertheless, to distinguish between both syndromes is usually difficult and useless as volume status is difficult to be determined, underlying pathophysiological mechanisms are still not fully understood, fluid restriction is usually contraindicated in these patients, and the first option in the therapeutic strategy is always the same: 3% hypertonic saline solution. Keywords: Hyponatremia; Neurocritically ill patient; Hypertonic saline solution.

FULL TEXT