Mohmand HK, Issa D, Ahmad Z, et al.
Hypertonic Saline for Hyponatremia: The Risk of Inadvertent
Overcorrection
ASN Annual Meeting -- San Diego
J Am Soc Nephrol
(Nov) 17:219A 2006

Clinicians have little data to guide them in the optimal use of hypertonic
saline in the treatment of hyponatremia. Fear of neurological complications
often makes clinicians avoid its use. Formulas for predicting correction have
not been extensively validated.
We report on all 62 adult patients
treated for hyponatremia with 3% NaCl solution over a five year period in a
528 bed acute care, teaching hospital. In 84% of all patients, and in 100% of
patients with a serum sodium <120 mEq/L, a nephrologist supervised the
infusion, intending to limit correction to <12 mEq/L/day and <18
mEq/L/48 hours. 3% saline was started in ED in 19 (32%) and in the ICU in 9
(15%) cases; clinical setting did not affect outcomes. The average rate of
infusion was 27.4
2.3 ml/hr resulting in an
average rise in serum sodium of 0.47
0.05
mEq/L/hr. The average daily correction was 7.15
0.56 mEq/L/day and 11.33
0.69
mEq/L/48 hrs. In 11.3% of cases, correction was >12 mEq/L/24 hrs and in
9.7%, correction >18 mEq/L/48 hrs. In 78% of the patients whose serum Na
was < 120 mEq/L, the observed correction exceeded the correction predicted
by the Adrogue-Madias formula. Patients who were overcorrected received
significantly less hypertonic saline (339
85 ml) than patients whose correction rates remained within
guidelines (646
74 ml; p=0.04) and their
actual correction averaged 2.54 times their predicted correction. Inadvertent
overcorrection was due to a documented water diuresis in 40% of cases. Three
patients were given D5W after 3% NaCl to slow correction and 1 patient
received DDAVP. The degree of hypokalemia did not affect rate of correction.
There was no occurrence of correction by >25 mEq/L/48 hours, worsening of
neurological condition during or after hypertonic saline infusion or
respiratory arrest.
We conclude that popular formulas underestimate
correction after 3% NaCl therapy. Even when hypertonic saline is given in
conservative doses, close monitoring of serum sodium levels and urine output
is essential, and replacement of urinary water losses and/or administration
of DDAVP are often needed to avoid inadvertent overcorrection.

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