Hyponatremia | Right Decisions

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Hyponatraemia pathway¹

The decision to treat with hypertonic fluid and supervision of treatment should be the responsibility of a senior clinician with appropriate training and skill.

The aim is to achieve a 5mmol/l in serum Na⁺within the first hour, reducing immediate danger from cerebral oedema while minimising the risk of over-rapid correction and osmotic demyelination.

Inform the Acute Oncology Team of the patient's assessment and/or admission as soon as possible.

Immediate advice is available from the Acute Oncology Service or the 24-hour Oncology on call rota.

Withhold SACT, including oral therapy, until you have discussed with the Acute Oncology or Site Specific Team.

References

1. UKONS Oncology Nursing Society. Acute oncology initial management guidelines. v.4.0. Publication date: 13.02.2023. Available from: https://ukons.org/news-events/acute-oncology-initial-management-guidelines-latest-version/

Last reviewed: 13/02/2023

Next review date: 13/02/2026

Author(s): UKONS.

Version: 4.0

Reviewer name(s): Stewart J.