Hyponatremia
This is a 66 y.o female patient with history of knee pain x3months, HTN. Pre-test: sodium- 144.
On the day of admission pt.had REPLACEMENT KNEE TOTAL. EBL 100ml, Total IV fluids 2000ml post-op
Noted to have sodium which range from 138 133 131.
Whould you query for hyponatremia?
On the day of admission pt.had REPLACEMENT KNEE TOTAL. EBL 100ml, Total IV fluids 2000ml post-op
Noted to have sodium which range from 138 133 131.
Whould you query for hyponatremia?
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Comments
That being said, when presenting to our physician leadership for comment our physicians have given some significant pushback and have defined the range to fall between 130 and 150 so applying this range to your scenario, no - no query would be sent. We are asking our physician leadership to "define" this range for our system through CPCs (Clinical Practice Councils) and then we would run our data against the ranges and see if the opportunity still exists or goes away.
Stacey McIntosh, MBA, MSL, MA, RHIA, CHP, CCS
HIM Manager
Health Information Management – System Services
Memorial Hermann Health System
909 Frostwood, Suite 2:205:21
Houston, TX 77024
713-338-5975
stacey.mcintosh2@memorialhermann.org