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#170 Hypernatremia is Easy with Joel Topf MD

The Curbsiders Internal Medicine Podcast

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Rapid Correction of Hyponatremia

In acute hyponatremia, where you get a sudden drop in sodium from drinking too much water, those patients can get cerebral edema. And we have patients that run marathons and get water intoxication and they have a seizure and they die. There is data that rapid correction of sodium in infants does predispose to seizures. In adults, there is not a single credible case report ever of an adult developing cerebral edema from rapid correction of hypon atremia. With that in mind, do you check once a day? I mean, just let the patient's just check this Q12 or 24 instead of Q4.

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