Clinical Case Database / Category: Patient Management
Sodium imbalances for the Foundation doctor
Publication details
Thomas Cannon MBChB (Hons), Tracie Plant BMedSci (Neuroscience), MBChB, Miguel Debono MD, MRCP
Foundation Years Journal, volume 4, issue 2, p.62 (123Doc Education, London, February 2010)
Abstract
One of the most common and sometimes complicated electrolyte abnormalities encountered in hospital patients are sodium imbalances. Unlike the management of other electrolyte imbalances, which are guided by specific well-established guidelines, sodium disorders are often not managed as well. This is because of the larger array of causes and aspects of management that can be employed. It is hoped that this article will go some way to aiding Foundation doctors in their understanding of abnormalities of serum sodium levels and how to approach their investigation and management.
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Authors
Thomas Cannon MBChB (Hons)
Foundation Year 2 Doctor
South Yorkshire Foundation School
Northern General Hospital
Herries Road
Sheffield S5 7AU
Tracie Plant BMedSci (Neuroscience), MBChB
Foundation Year 2 Doctor
South Yorkshire Foundation School
Northern General Hospital
Herries Road
Sheffield S5 7AU
tracieplant@doctors.net.uk
Miguel Debono MD, MRCP
Academic Specialist Registrar in Diabetes and Endocrinology
Sheffield Teaching Hospitals NHS Foundation Trust
References
1. Reynolds RM, Padfield PL, Secki JR (2006) Disorders of sodium balance. BMJ, 332:702–705.
2. Kumar S, Berl T (1998) Sodium. Lancet, 352:220–228.
3. Fox MA, Fox JA (2007) Acute symptomatic hyponatraemia – a practical approach. Acute medicine, 6(2):55–59.
4. Reynolds R, Secki JR (2005) Hyponatraemia for the clinical endocrinologist. Clin Endocrinol (Oxf), 63:366–374.
5. Goh KP (2004) Management of hyponatremia. Am Fam Physician, 69:2387–2394.
6. Biswas M, Davies JS (2007) Hyponatraemia in clinical practice. Postgraduate medical journal, 83:373–378.
7. Smellie WSA, Heald A (2007) Hyponatraemia and hypernatraemia: pitfalls in testing. BMJ, 334:473–476.
8. Stephanides SL. Hypernatraemia: Treatment and Medication. Retrieved 27 August 2009 from http://emedicine.medscape.com/article/766683-treatment
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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