Hypertonic Saline Administration via Intraosseous Access During Symptomatic Hyponatremia
Grand Strand Medical Center
3% saline, intravenous vs intraosseous drug administration, symptomatic hyponatremia, syndrome of inappropriate antidiuretic hormone secretion, treatment of hyponatremia
Critical Care | Internal Medicine | Nutritional and Metabolic Diseases
Hyponatremia is a common lab finding. Symptomatology varies greatly and can depend on the degree of hyponatremia and its chronicity. Causes of hyponatremia are also vast and include heart failure, renal injury, liver disease, and gastrointestinal losses, or it can be induced by medication. Treatment depends on the suspected etiology. However, in life-threatening conditions such as seizures or coma, urgent 3% saline is required. Administration of 3% saline is usually through peripheral and central IV access. This case report highlights an alternative route in administering 3% saline, intraosseous vascular access, when other options have been exhausted.
Publisher or Conference
Juarez A, Barr M, Golden T. Hypertonic Saline Administration via Intraosseous Access During Symptomatic Hyponatremia. Cureus. 2023;15(7):e41731. doi:10.7759/cureus.41731