Metolazone and hyponatremia
Common Questions and Answers about Metolazone and hyponatremia
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His weight stabilized and he was removed from the Metolazone, but he is a different human being now. He has become too weak to walk, and his thoughts are obviously clouded. His water weight is about at his normal set point and stable, and his oxygen saturation levels have been stable at 93 to 97. It's worth mentioning that he has a small patch of pneumonia on the lung and that this hasn't been cured for about three months now.
Two weeks ago, he gained water weight, and lasix did not work. The doctor prescribed Metolazone, a more powerful diuretic. This removed water, but from about 2 days after he started Metolazone, he began a downward spiral. He developed a potassium shortage, treated by a supplement. Metolazone was stopped, but he has become too weak to walk, and his thoughts are clouded. His water weight is normal.
s much appreciated he sees his GP weekly also has weekly bloods for kidney function and potassium he is also under the heart failure specialist who increased his spironolactone to 50 mg and said he could take a metolazone every second day if his weight was still going up he has done this once and his weight has gone down to 78 kg I have worked out if he has some salted peanuts small amount that this really improves things.
Symptoms of moderate hyponatremia include tiredness, disorientation, headache, muscle cramps, and nausea. Severe hyponatremia can lead to seizures and coma. These neurological symptoms are thought to result from the movement of water into brain cells, causing them to swell and disrupt their functioning.
Best.
Hyponatremia is a common electrolyte disorder defined as a serum sodium level of less than 135 mEq per L. Treatment is based on symptoms and underlying causes. In general, hyponatremia is treated with fluid restriction (in the setting of euvolemia), isotonic saline (in hypovolemia), and diuresis (in hypervolemia).
For more information, see Figure 1 and Table 1 in the following article:
https://www.aafp.org/afp/2015/0301/p299.
If you have hyponatremia maybe. Did they do a blood test? How long did they say to eat more then average sodium?
What would be a rough formula for calculating sodium excretion. This has to handle extreme results like acute hyponatremia and hypernatremia.
What is the maximum excretion at which point the body is unable to keep up with consumption?
This information will not be used for any actual medical purpose on any actual organism, inaccuracy is acceptable and even intended to keep the calculations simple.
He went to the doctor last week and they increased his lasix - 160 mg twice a day. No change to the edema. He went back yesterday and they prescribed Metolazone (diuretic). He took one this morning at 7:00 am and at 10:00 am he had not noticed any increase in urination. He also went to his cardiologist yesterday who said he did have fluid around his heart (cause of the coughing) but agreed with the diuretic prescription.
Then was given Cefuroxime, Linezolid antibiotic, corex syp and metolazone diuretics when partially conscious. He didnt eat much drank 50 ml water in last 14 hours and nothing after that. Later in the evening his oxygen was down to 70 SpO2. In 1.5 hours he was given oxygen with oxygen machine and the oxygen started to increase in a bit. In an hour heartrate started to fluctuate BP was almost NR. The patient suffered cardiac arrest few minutes later. The patient wasn't a major heart patient.
Hi,
Drinking too much water can lead to a condition known as water intoxication and to hyponatremia. This is most commonly seen in infants under six months of age and sometimes in athletes. This also results when a dehydrated person drinks too much water without the accompanying electrolytes.
Excess water outside the cells draws sodium from within the cells out to re-establish the necessary concentration. As more water accumulates, the serum sodium concentration drops , hence, hyponatremia.
sarahthemace is correct when she points out that hypoxia is the wrong word. I used it in haste, remembering it as the word for hyponatremia.
Here is an article on the condition, hyponatremia, commonly called "water intoxication." All the articles about it mention that it happens only if a lot of water is drunk in a relatively short period of time.
http://www.scientificamerican.
(looking for autoimmune, leukemia, other infection...) Get checked for tuberculosis, hypercalcemia, and hyper/hyponatremia (too much or too little sodium)...I'll chew on this some more and get back to you...
On August 23rd, 2014, he was diagnosed with Tonsillitis, Hypertension, Hyponatremia, Hypokalemia and Hypoxemia by one hospital.
Lately I have not been feeling myself I've been getting sudden bouts of felling dizzy, tired, like I'm going to faint, headaches, slightly nauseous, my heart speeds up and I find it hard to breathe. My head feels funny like I'm not there if that makes any sense? Like its a dream or I'm in another place/world? I am slightly stressed but not enough to cause this? I drink plenty of water and have a decent diet. What could this be?
She was given Lycinopril for borderline high blood pressure and was taking this for 3 years. Then she got ill and stopped when she was admitted to the hospital for low sodium/high potassium levels and was given an IV, I believe at that time they said it was hyponatremia. She is currently taking gabapentin with no real affect. Her condition has not improved but has gotten various diagnosis from Fribromyalia to Issacs Syndrome.
Can you shed some light on this?
Thanks!
Aside from the kidneys, where in it flushes toxins out of vital organs, it also helps carry nutrients to the cells and provides a moist environment for ear, nose and throat tissues. We may need to modify our total fluid intake depending on how active we are, the climate we live in, our health status, and if pregnant or breast-feeding.
It is possible to drink too much water.
Athletes can also suffer from water intoxication. Athletes sweat heavily, losing both water and electrolytes. Water intoxication and hyponatremia result when a dehydrated person drinks too much water without the accompanying electrolytes. From the cell's point of view, water intoxication produces the same effects as would result from drowning in fresh water.
Generic : Escitalopram oxalate
PPD Drug Class: Central Nervous System Drugs (CNS)/ Psychotropic Drugs/ Antidepressants/ Selective Serotonin Reuptake Inhibitors (SSRI)
Needs a Prescription: Yes
Indications: Listed in Dosage.
Recommended Dosage: For dosage information of prescription medicine, please consult with your doctor.
Contraindication: MAOIs, pimozide. Patients in manic phase. Pregnancy.
Precaution: Monitor patients for risk of suicidality.
Hi there. You need to rule out electrolyte disturbances like hypocalcemia, hyponatremia, hypo and hyper kalemia, hypomagnesemia and hypoglycemia. metabolic conditions like hypothyroidism, hyperthyroidism related myopathy, drugs like salbutamol, alcohol consumption, amyotrophic lateral sclerosis, parenteral nutrition, hyperventilation etc.
My doctor simply recommended that I replace some of the plain water I drink with Gatorade to help replace the electrolytes. However I hate Gatorade and all other sports drinks and I avoid them and their sugar-free alternatives because of sugar and chemicals.
Does anyone know of a good, natural, sugar free electrolyte replacement drink that contains adequate sodium (I have found two already, but both were either sodium free or have very low sodium).
I was drinking 2 litres of water in about a hour and a half on my blood work days. My veins hide and I only have one or two that can be reached by even the most skilled phlebotomist. I had to fast until my blood was taken, drank that 2 litres in the time it took my to drive to the hospital, swished in and barely made it to the washroom most days.
So on blood work days, about 4 litres. On non-blood work days I drank about 3 litres/day. Probably could have done with more.
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