Assessment in Head injury

Assessment in head trauma

• Intravenous fluid infusion  ให้เป็น Isotonic solution ไม่เอาน้ำตาล rate ตาม maintenance

Hyponatremia

Na < 135

Clinical presentation

·         Aymptomatic

·         Na < 125 mEq/L : weak, camp ,hiccup, nausea

·         Na < 120 mEq/L : headache, N/V

·         Na < 115 mEq/L : alternation of conscious, Coma, respiratory arrest : SEVERE HYPONATREMIA