• No Shinkei Geka · Apr 1984

    Case Reports

    [Marked effect of furosemide and hypertonic saline in the treatment of SIAD after head injury].

    • H Iwasa, T Yamada, N Nakahara, H Shimabukuro, S Shinoda, I Indei, N Yamada, F Sato, and T Saito.
    • No Shinkei Geka. 1984 Apr 1; 12 (5): 651-5.

    AbstractA case of SIADH after head injury was encountered and treated successfully with furosemide and hypertonic saline. 250 mg of furosemide was given twice at two hours' interval. The dose of 2.5% saline for the infusion was calculated according to the excretion of sodium in the urine collected during this period. The level of serum sodium quickly rose from 113 mEq/l to 137 mEq/l in 33 hours. The consciousness of the patient returned to normal. The problems of quick correction of hyponatremia including the central pontine neurolysis were discussed.

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