What is the best intervention to correct hypervolemic hyponatremia in a client diagnosed with a serum sodium level of 120 mEq/L?

Question

Quizplus · Accepted Answer

Hypervolemic hyponatremia occurs when there is an excess of water in the body relative to the amount of sodium, and the primary treatment is to remove the excess water. Tolvaptan is a selective vasopressin V2 receptor antagonist that can increase urine output and decrease water retention, thereby correcting hyponatremia. Sevelamer is a medication used to lower phosphate levels and has no effect on sodium or water balance. Alendronate is a bisphosphonate used to treat osteoporosis and has no effect on sodium or water balance. Therefore, the best intervention for this client would be administration of tolvaptan. It is important to note that the correction of hyponatremia should be done slowly and carefully to avoid osmotic demyelination syndrome, a potentially life-threatening complication.

What Is the Best Intervention to Correct Hypervolemic Hyponatremia in a Client