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Updated: Jul 4, 2025

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
Published on: July 28, 2018
[SIADH treatment: beyond fluid restriction]
Kewin Elias1, Judith Fournier1
1Service de médecine interne générale, Centre hospitalier du Valais romand, Hôpital de Sion, 1951 Sion.
Abstract:
Treatment of chronic hyponatremia due to secretion of anti-diuretic hormone (SIADH) is often more complicated than it seems. Although initial treatment with fluid restriction is well established, it has limitations and is often insufficient. These limitations can be overcome by different second-line treatments. In this article, we address the limits of fluid restriction and propose pragmatic management based on the urinary spot.
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