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Table 1 Sodium Trend in Hospital

From: Central diabetes insipidus and pain medications – a risky combination

Day

Sodium (mmol/L)

Pain med (name/dose)

DDAVP (mg)

Prior to initial discharge

136

Hydromorphone 1 mg q4hr

Ibuprofen 600 mg q4hrs

1.6 mg q6hr

1 of admission

108

Hydromorphone held

Held

2

110–118

No change

0.6 mg Prn

3

120–128

No change

0.6 mg Prn

4

127–137

No change

0.6 mg Prn

5

135–137

Ibuprofen held

0.6 mg Prn

6–14

137–141

None

0.5 mg BID, 0.1 mg prn

5 months post

139

None

1.4 mg qam, 0.6 mg qpm, 1.4 mg qhs

  1. Prn: as needed