Management of hyponatremia in patients with heart failure: A retrospective study

Saepudin Saepudin, Patrick Ball, Hana Morrissey

Research output: Book chapter/Published conference paperConference paperpeer-review


Hyponatremia is a common problem in Heart Failure (HF) patients but, unfortunately, studies reported that it is still rarely recognized or treated adequately. This research was aimed to investigate current management of hyponatremia in patients hospitalized from HF at the study site. This research was conducted at Fatmawati Hospital in Jakarta, Indonesia, by including patients hospitalized from HF during the period of 2011–2013. Specific information on patients’ information and the administered treatments was only retrieved from medical records. Among 464 patients included in this study, hyponatremia was found in 19% of patients on admission and 22% during hospitalization, but 58.8% of 102 hyponatremic patients did not receive specific treatment during hospitalization. Sodium chloride-based treatments were the only administered treatment options in which normal saline was commonly (20.6%) administered to patients with mild hyponatremia. Hyponatremia has been addressed and treatments have been administered but more than half of the hyponatremic patients still did not receive any active treatment.
Original languageEnglish
Title of host publicationProceedings of the 17th Asian Conference on Clinical Pharmacy (ACCP 2017)
Subtitle of host publicationUnity in Diversity and the Standardisation of Clinical Pharmacy Services
EditorsElida Zairina, Junaidi Khotib, Chrismawan Ardianto, Syed Azhar Syed Sulaiman, Charles D. Sands III, Timothy E. Welty
PublisherTaylor & Francis
Number of pages6
ISBN (Electronic)9781315112756
ISBN (Print)9781138081727
Publication statusPublished - 12 Dec 2017
Event17th Asian Conference on Clinical Pharmacy: ACCP 2017 - Tentrem Hotel, Yogyakarta, Indonesia
Duration: 28 Jul 201730 Jul 2018 (Conference website)


Conference17th Asian Conference on Clinical Pharmacy
Abbreviated titleUnity in Diversity and the Standardisation of Clinical Pharmacy Services
OtherTo date, pharmacists have developed their roles in clinical pharmacy. Pharmacy curricula have been improved to cover the demand from stake holders along with the increase of clinical pharmacist needed in the hospitals. Meanwhile, clinical pharmacy services in community pharmacy setting have also started to rise as more “patient oriented” services paradigm and “pharmaceutical care” concept has been accepted in Asian countries.

The original idea of ACCP came from Asian pharmacists who were looking for a practical conference in which they could exchange and share ideas on the concept of clinical pharmacy. In 1996, representatives from China, Korea, Japan, and USA met in Seoul, Korea to plan for the first conference. As a result, the first East Asia Conference on Developing Clinical Pharmacy Practice and Clinical Pharmacy Education (EACDCPPE) was held in America in 1997. Only 36 representatives attended and it was planned by pioneers as bi-annual meeting. In 1999, the second EACDCPPE was successively held in Shanghai. This conference enables more representatives in Asia countries to realize the differences between Asian and Western countries in development of clinical pharmacy.

When the third conference was held in Japan in 2003, the title of the conference was changed to Asian Conference on Clinical Pharmacy (ACCP). This opened the conference to more Asian countries also the subject of clinical pharmacy was more strengthened. With series of other Asian countries such as Philippines, Indonesia, Singapore, and so on attended ACCP, as well as with the rapid development of clinical pharmacy in Asia, every country was enthusiastic in attending and holding this conference. On the 5th conference in Malaysia in 2005, the decision was made among the representatives of the member countries to hold the conference annually instead of biannually for efficiency and convenience in regards to communicating and sharing about clinical pharmacy.

Indonesia hosted the 8th ACCP in Surabaya in 2008, and is hosting the 17th ACCP in Yogyakarta this year. This year will be a celebration for 20 years of ACCP. During the past 20 years, ACCP has been a major event in the clinical pharmacy scope in Asia and has been conducted in various countries especially in Asia. Clinical pharmacists have attended this prestigious meeting to share their experience in the fields of practice, research, and education on clinical pharmacy. Clinical-pharmacist experts from USA, Canada, Australia, and UK have continuously come and transfer their knowledge and shared advance clinical pharmacy practice experiences. This conference supports rapid knowledge and experience transfer and enhances the emerging of clinical pharmacy practice in Asia.
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