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Hyponatraemia: Difference between revisions
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== Diagnosis and evaluation == | == Diagnosis and evaluation == | ||
Determining the cause is the first priority. | Determining the cause is the first priority, and requires a systematic approach and determining tonicity, volume status, and renal sodium loss. | ||
=== Determining tonicity === | === Determining tonicity === | ||
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== Management == | == Management == | ||
Mild hyponatraemia does not usually require hospitalisation, but moderate, severe, or symptomatic hyponatraemia requires hospitalisation. | Mild hyponatraemia does not usually require hospitalisation, but moderate, severe, or symptomatic hyponatraemia requires hospitalisation. Severe hyponatraemia requires [[intensive care]]. | ||
Treatment depends on the underlying cause. Any drugs which can contribute to hyponatraemia should be discontinued if possible. Fluid restriction and increased intake of dietary salt is usually sufficient, but fluid restriction should not be used in those who are hypovolaemic. People who have symptomatic hyponatraemia require hospital admission. | Treatment depends on the underlying cause. Any drugs which can contribute to hyponatraemia should be discontinued if possible. Fluid restriction and increased intake of dietary salt is usually sufficient, but fluid restriction should not be used in those who are hypovolaemic. People who have symptomatic hyponatraemia require hospital admission. | ||