Цитата:
Сообщение от Egor1974
Не совсем понятна роль ДДАВП в ведении SIADH. Поясните, пожалуйста, Вы имели в виду использование ДДАВП при передозировке Толваптана или другую ситуацию?
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Overcorrection of hyponatremia
is a medical emergency
Richard H. Sterns 1 , 2 and John K. Hix 1 , 2
Overcorrection of hyponatremia is a medical emergency. Excessive
correction usually results from the unexpected emergence of a water
diuresis after resolution of the cause of water retention. The concurrent
administration of desmopressin and 5 % dextrose in water can be given
to cautiously re-lower the serum sodium concentration when
therapeutic limits have been exceeded. Nephrologists should be equally
aggressive in correcting hyponatremia and in un-correcting it when
their patients get too much of a good thing.
Kidney International (2009) 76, 587 – 589. doi: 10.1038/ki.2009.251