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 |