Lean Toward Trying Urea Before "Vaptans" for Hyponatremia

April 2017

What's the best approach for treating hyponatremia?

Usually focus on the symptoms more than the sodium level.

We know to immediately treat SEVERE symptoms such as seizure and coma with hypertonic saline...to prevent brain herniation and death.

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Table of Contents

Infectious Diseases Be Prepared to Treat Multidrug-Resistant "ESBL" and "CRE" Infections
Surgery Help Optimize Peri-Op Antifibrinolytic Use to Reduce Blood Transfusions
Nephrology Lean Toward Trying Urea Before "Vaptans" for Hyponatremia
Heart Failure Focus on BP Control in Heart Failure Patients With Preserved Ejection Fraction
Fall Risk Be Sure Your Facility Uses a Fall-Risk Medication Assessment
New Drugs Don't Expect the Constipation Med Plecanatide (Trulance) to Be on Your Formulary
Neurology & Pain Ask Patients on Pramipexole or Ropinirole About Worsening Restless Legs Syndrome
Antithrombotics Limit Bleeding Risk in Patients Who Need an Anticoagulant Plus Antiplatelets
Constipation Help Parents With Concerns About Miralax and Neuropsych Effects in Children
Topicals Help Prescribers Choose Between Different Topical Dosage Forms
Neuromuscular Start With Baclofen or Gabapentin for Persistent Hiccups
Hepatitis C Put Warnings About Liver Damage With Hep C Meds Into Perspective