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#109 Hyponatremia Management Part 1: 5 Pearls Segment

Core IM | Internal Medicine Podcast

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Isotonic Fluids Are Bad for Hypotonia

If you're giving a fluid that has a lower osmoality than your urine, then you are going to hang on to water. If the patient has a urine osma of 600, giving a fluid with a low osmolality would actually make the sodium worse. That's actually worse. And this is even worse if you give half normal salien or d five - which are even more hypotonic.

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