From: BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy
Acute hypervolaemic hyponatraemiaa | Management |
---|---|
Asymptomatic hyponatraemia & [Na+] ≥120 mmol/L | Fluid restriction (e.g., <1 L/day) and loop diuretics e.g.,40 mg frusemide |
Symptomatic hyponatraemia and/or [Na+] <120 mmol/L | Hypertonic (3 %,) saline (1 L = 513 mmol/L NaCl compared with normal saline where 1 L = 154 mmol/L), supplemental oxygen, indwelling urinary catheter, high dependency care and multidisciplinary team involvement |