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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