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SAS Journal of Surgery | Volume-3 | Issue-05
Hyponatremia: A Review
Mable Baby, K. Krishnakumar, L. Panayappan, Lincy George
Published: May 30, 2017 |
210
130
DOI: 10.36347/sasjs
Pages: 118-121
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Abstract
Syndrome of inappropriate antidiuretic hormone secretion is a clinical syndrome which enhance the secretion
or action of ADH (antidiuretic hormone),which causes the body to retain water and certain levels of electrolytes in the
blood to fall (such as sodium) .It is the most common cause of hyponatremia seen in hospitalized patients. It has various
etiologies like malignancy, pulmonary diseases, CNS diseases and some medications. Symptoms of SIADH depend on
the degree of hyponatremia and the rate at which it develops. Serum sodium below 120mmol/L can cause life-threatening
symptoms, while gradual decline causes nonspecific symptoms. Vasopressin-receptor antagonists (vaptans) would
provide a more effective method to treat hyponatraemia secondary to SIADH. The review focuses on syndrome of
inappropriate antidiuretic hormone secretion as a cause of Hyponatremia and management of it which may help in the
prevention of Hyponatremia.