If antidepressant-induced hyponatraemia has been diagnosed, how should the depression be treated?
Source: East Anglia Medicines Information Service
Area: Evidence > Medicines Q & A
If the hyponatraemia is mild (125-134mmol/litre serum sodium) and there is no other cause for the hyponatraemia, discontinue the antidepressant and monitor serum sodium levels daily until they are within normal range or if asymptomatic, consider fluid restriction.
If the patient has serum sodium below 125mmol/litre, discontinue the antidepressant immediately and treat medically for hyponatraemia.
After serum sodium levels have normalised, choose another appropriate antidepressant.
If the patient developed hyponatraemia whilst on...
Source: NeLM - Mental Health - January 2, 2013 Category: Psychiatry Source Type: news
We are bitter, but we are better off: case study of the implementation of an electronic health record system into a mental health hospital in England
Source: BMC Health Services Research
Area: Evidence > Medicines Management > References
Background: In contrast to the acute hospital sector, there have been relatively few implementations of integrated electronic health record (EHR) systems into specialist mental health settings. The National Programme for Information Technology (NPfIT) in England was the most expensive IT-based transformation of public services ever undertaken, which aimed amongst other things, to implement integrated EHR systems into mental health hospitals. This paper describes the arrival, the process of implementation, stake...
Source: NeLM - Mental Health - January 1, 2013 Category: Psychiatry Source Type: news
