Welcome to Helix Talk, an educational podcast for healthcare students and providers covering real-life clinical pearls, professional pharmacy topics, and drug therapy discussions.

This podcast is provided by pharmacists and faculty members at Rosal Franklin University College of Pharmacy.

This podcast contains general information for educational purposes only. This is not

professional advice and should not be used in lieu of obtaining advice from a qualified

health care provider. And now on to the show. Welcome to Helix Talk episode 120. I'm your

co-host Dr. Kane. And I'm Dr. Patel. And in true 2020 fashion, the title of today's episode is,

When It Rains, It Pours, a Syscinct Clinical Review of Hyponatremia due to S-I-A-D-H.

So today we're focusing on the syndrome of inappropriate antidiarrotic hormone,

which is a form of hyponatremia called S-I-A-A-D-H.

And Dr. Kane, I think for our audience, it would make the most sense if you kind of have

some sort of a clinical case associated with this.

This topic is not commonly seen unless you work in a certain practice setting.

So what is our case today?

Sure. So our case is HN.

She's a 74 year old female. She came in the ER after she had a witnessed fall at home.

She did not hit her head. She's not complaining of any pain. But the husband says she's more

confused than normal. She's nauseated and has been complaining of a headache for the past several

days, not related to her fall. They do a CT of her head. That's normal. No bleeds in her brain.

They do some x-rays to make sure she has no broken bones. Everything is fine except for her

altered mental status. They do some lab work and it turns out that she has a serum sodium

of 119, which is quite low.

Normal would be 135 to 145.

...