🎧 Dr RR Baliga's Internal Medicine Podcasts for Physicians: MUST KNOW FACTs about Hyponatremia

December 4, 2021 | RR Baliga, MD, MBA

 

 

🎧 Dr RR Baliga's MUST KNOW FACTs PODCASTS: Hyponatremia

Podcast derived from chapter

Summary

  • Hyponatremia is a state of water excess.
  • Reduced urine output from persistent antidiuretic hormone (ADH) secretion and/or low osmole intake accounts for a vast majority of cases of hyponatremia. Seldom does hyponatremia develop without impairment in water excretion when high water ingestion exceeds the normal renal water excretory capacity.
  • Analysis of serum osmolality, urine osmolality, and urine Na+ along with assessment of extracellular volume status helps elucidate the cause of hyponatremia.
  • The severity of symptoms and the severity of hyponatremia determine the therapeutic choice in hyponatremia.
  • The rapid correction of hyponatremia must be avoided to minimize the risk of osmotic demyelination syndrome.
Internal Medicine - Mastermedfacts

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