Dr. Sikhipha
Clinical pearls
1. Ensure that all cases of hyponatraemia receive appropriate work-up to determine the cause
2. Manage the hyponatraemia according to the cause, e.g. if normal saline in the case of hypovolaemia and glucocorticoids in the case of adrenal insufficiency
3. For patients requiring emergent treatment, e.g. those with seizures, a correction rate of 4-6mmol/L over the first 6 hours is recommended
For further reading, please click:
Disorders of plasma sodium - causes, consequences and correction (PDF)
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