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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