Hyponatremia Treatment Algorithm
CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
- Consider salt tablets if etiology is not quickly reversible
- If Uosm > 500, consider adding loop diuretic
Reset Osmostat - Treatment not indicated
Any form of volume depletion - IV Fluids
- CAREFUL for over-correction (improved volume status turns off ADH -> free water diuresis)
1° polydipsia - Normalize fluid intake
Dr. Eric Strong https://twitter.com/DrEricStrong
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