flatline
28-07-18, 13:47
Hi,
I got a bit of a salty surprise when I went to Qdoba today. I was eating some of the chips and there was like a solid tablespoon or two of salt right at the bottom that I accidentally ate when I poured the last of the bag in my mouth. That was a lot of sodium (8330 mg/362 mEq for the whole meal, which since I weigh around 77kg would have increased my blood sodium levels by ~7.8 mEq/l (46.2 mEq to increase at safe rate of 1 mEq/l/hr); I didn't have any symptoms of hypernatremia but I drank around 25 fl oz of water/dr pepper in an hour to be safe.
however, my main worry is cerebral edema from correcting my blood sodium too quickly. that 25 fluid ounces is about 738 mL, and according to this calculator a person of my weight with blood sodium levels of 147.8 mEq/L (I got a blood test not too long ago that had my blood sodium levels at 140 + 7.8 from the meal) around 640 mL of water is needed to lower my blood sodium by 2 mEq/l -- 4x higher than the safe rate!
This all happened about 6 hours ago. I called Poison Control 4 times to ascertain what I should do; they said that it was a large amount of sodium but that I should be okay. Advice was to drink up to 8 oz of water and go to bed around ~3 am, and to drink a little more water than usual and avoid salty foods the next day. This whole situation happened around midnight and it's 6am since I typed this. I'm not experiencing any symptoms of hypernatremia or cereberal edema, outside of a headache which I had before I even ate. I would really appreciate anybody telling me that I'm going to be okay at these rates; I obviously haven't slept yet and don't want to in case my brain swells in my sleep...or something like central pontine myeliosis to happen.
Or someone to check my math considering I have very little confidence in these piecemeal calculations.
Calculator: https://www.mdcalc.com/sodium-correction-rate-hyponatremia-hypernatremia#evidence
---------- Post added at 07:47 ---------- Previous post was at 06:20 ----------
keep in mind that these are pretty high calculations because I'm trying to be safe. I probably only had like 10 grams of salt at most because I didn't eat all of what was at the bottom of the bag, I kind of just poured some of it into my mouth and quickly realized that it was mostly salt
I got a bit of a salty surprise when I went to Qdoba today. I was eating some of the chips and there was like a solid tablespoon or two of salt right at the bottom that I accidentally ate when I poured the last of the bag in my mouth. That was a lot of sodium (8330 mg/362 mEq for the whole meal, which since I weigh around 77kg would have increased my blood sodium levels by ~7.8 mEq/l (46.2 mEq to increase at safe rate of 1 mEq/l/hr); I didn't have any symptoms of hypernatremia but I drank around 25 fl oz of water/dr pepper in an hour to be safe.
however, my main worry is cerebral edema from correcting my blood sodium too quickly. that 25 fluid ounces is about 738 mL, and according to this calculator a person of my weight with blood sodium levels of 147.8 mEq/L (I got a blood test not too long ago that had my blood sodium levels at 140 + 7.8 from the meal) around 640 mL of water is needed to lower my blood sodium by 2 mEq/l -- 4x higher than the safe rate!
This all happened about 6 hours ago. I called Poison Control 4 times to ascertain what I should do; they said that it was a large amount of sodium but that I should be okay. Advice was to drink up to 8 oz of water and go to bed around ~3 am, and to drink a little more water than usual and avoid salty foods the next day. This whole situation happened around midnight and it's 6am since I typed this. I'm not experiencing any symptoms of hypernatremia or cereberal edema, outside of a headache which I had before I even ate. I would really appreciate anybody telling me that I'm going to be okay at these rates; I obviously haven't slept yet and don't want to in case my brain swells in my sleep...or something like central pontine myeliosis to happen.
Or someone to check my math considering I have very little confidence in these piecemeal calculations.
Calculator: https://www.mdcalc.com/sodium-correction-rate-hyponatremia-hypernatremia#evidence
---------- Post added at 07:47 ---------- Previous post was at 06:20 ----------
keep in mind that these are pretty high calculations because I'm trying to be safe. I probably only had like 10 grams of salt at most because I didn't eat all of what was at the bottom of the bag, I kind of just poured some of it into my mouth and quickly realized that it was mostly salt