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Hyponatremia

Key considerations: Severe hyponatremia with seizures/AMS, Cerebral edema, Osmotic demyelination from overcorrection

Cannot miss

  • Severe hyponatremia with seizures/AMS
  • Cerebral edema
  • Osmotic demyelination from overcorrection

Likely diagnoses

  • SIADH
  • Heart failure
  • Cirrhosis
  • Thiazide diuretic
  • Psychogenic polydipsia

Red flags

  • Na <120
  • Seizures
  • Altered mental status
  • Rapid onset (<48hr)

Workup

  • history: Medications (thiazides, SSRIs), fluid intake, symptoms of underlying cause; exam: Volume status assessment (euvolemic, hypovolemic, hypervolemic); labs: BMP, serum osmolality, urine osmolality, urine sodium, TSH, cortisol; imaging: Head CT if AMS or seizures; bedside: Volume status assessment

Management

  • immediate: Symptomatic (seizures/AMS): 3% hypertonic saline 100mL IV over 10min, repeat x2 if needed; Target 4-6 mEq/L increase in first 6 hours; general: Max correction rate: 8-10 mEq/L in 24 hours (risk of osmotic demyelination); Hypovolemic: NS; Euvolemic (SIADH): fluid restriction, consider tolvaptan; Hypervolemic: fluid restriction + diuresis

Disposition

  • admit: Na <125, symptomatic, acute onset, need for hypertonic saline; discharge: Mild chronic hyponatremia with identified cause and follow-up; consults: Nephrology for severe or refractory cases

Clinical pearls

  • Overcorrection of chronic hyponatremia causes osmotic demyelination syndrome (central pontine myelinolysis)
  • SIADH diagnostic criteria: euvolemic, urine osm >100, urine Na >40, normal thyroid/adrenal function

Source and review

  • European Hyponatremia Guidelines 2014. Last reviewed: 2024-11-01