MedPath

Comparison of fluid restriction with urea versus fluid restriction alone for inpatient management of syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Not Applicable
Conditions
Syndrome of Inappropriate ADH secretion (SIADH)
Hyponatremia
Metabolic and Endocrine - Metabolic disorders
Registration Number
ACTRN12615000379516
Lead Sponsor
orth Shore Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
24
Inclusion Criteria

1. Medical patients admitted to North Shore hospital from April to July 2015
2. Acute moderate to severe hyponatremia (Na < 128) – This data will be provided daily by the biochemistry laboratory
3. Hyponatremia secondary to SIADH, as defined below
- Serum osmolality less than 280mosmol/kg
- An inappropriately elevated urine osmolality (above 100 mosmol/kg and usually above 300 mosmol/kg)
- A urine sodium concentration above 40 meq/L
- A normal serum creatinine concentration
- Normal adrenal and thyroid function
- Patient is clinically euvolemic

Exclusion Criteria

Hyponatremia with impaired consciousness or seizures
Chronic kidney disease stage 4-5
Liver cirrhosis
Congestive cardiac failure
Patients on diuretics

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath