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Managing hyponatremia
1Rebecca Boyle practices at the Stanford Hypertension Center, part of Stanford (Calif.) Healthcare. The author has disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Despite the high incidence of hyponatremia, the correct approach to management, particularly in patients with severe hyponatremia (serum sodium of 120 mEq/L or less), is controversial. This article reviews two major consensus guidelines and recent studies that can help clinicians make evidence-based treatment decisions and reduce patient risk for iatrogenic osmotic demyelination from overly aggressive treatment.
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