Where do the salt and water go? A case of profound hyponatremia

I Portales-Castillo, RH Sterns, J Bress… - American Journal of …, 2018 - Elsevier
Treatment of profound hyponatremia is challenging. Severe symptoms mandate correction
by 4 to 6 mEq/L within hours, but with risk factors for osmotic demyelination, daily correction …

The challenge of hyponatremia

HJ Adrogué, NE Madias - Journal of the American Society of …, 2012 - journals.lww.com
Abstract Treatment of hypotonic hyponatremia often challenges clinicians on many counts.
Despite similar serum sodium concentrations, clinical manifestations can range from mild to …

Therapeutic relowering of plasma sodium after overly rapid correction of hyponatremia: what is the evidence?

H Rondon-Berrios - Clinical Journal of the American Society of …, 2020 - journals.lww.com
Overly rapid correction of hyponatremia is defined as a plasma sodium correction rate
exceeding the recommended limits, but controversy still exists about what those limits are …

Extreme hyponatremia complicated by osmotic demyelination in a previously healthy young individual

N Quigley, AP Garneau, L Haydock… - Canadian Journal of …, 2022 - journals.sagepub.com
Rationale: Severe hyponatremia can lead to dramatic complications whether it is treated or
not. At times, it may be very severe (serum Na concentration: NaS< 115 mmol/L) or even …

Management of severe hyponatremia with continuous renal replacement therapies

MH Rosner, MJ Connor Jr - … Journal of the American Society of …, 2018 - journals.lww.com
Discussion The correct answer for this patient would be item C. This patient presents with
acute on CKD along with oliguria, volume overload, severe hyponatremia, and …

A new look at an old problem: therapy of chronic hyponatremia

ML Halperin, KS Kamel - Nature Clinical Practice Nephrology, 2007 - nature.com
Taking into account the danger of provoking osmotic demyelination by causing an overly
rapid rise in the plasma sodium level, these authors from the University of Toronto offer their …

Evidence for managing hypernatremia: is it just hyponatremia in reverse?

RH Sterns - Clinical Journal of the American Society of …, 2019 - journals.lww.com
Acute hyponatremia or hypernatremia can cause brain damage. Correcting chronic
hyponatremia or hypernatremia too aggressively can do the same. A rapidly falling plasma …

Ten pitfalls in the proper management of patients with hyponatremia

TD Filippatos, G Liamis, MS Elisaf - Postgraduate medicine, 2016 - Taylor & Francis
ABSTRACT Hyponatremia (serum sodium< 135 mEq/L) is a common electrolyte disorder in
community or hospitalized patients. Serum sodium levels should be corrected at a proper …

Therapeutic approach to hyponatremia

DS Han, BS Cho - Nephron, 2002 - karger.com
Hyponatremia is a relatively common disorder occurring in up to 6% of hospitalized patients
and can occur through any mechanism that produces a relative excess of body water to …

Commentary on treatment of severe hyponatremia

S Seliger, B Kestenbaum - … Journal of the American Society of …, 2018 - journals.lww.com
In this Evidence-Based Nephrology review, Sterns (1) summarizes the available evidence
relating to the safety of treatment for severe symptomatic hyponatremia. The sources of …