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Hyponatremia

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Hypony Tremia - Dr. Gomez, What Do You Do?

Dr. Gomez: I think the biggest things to remember with Hypony Tremia are start by assessing for signs and symptoms and figure out if it's acute versus chronic. Confirm that it is Hypertonic Hypony TremIA and send those urine studies off right away, along with taking a good history and doing a medication reconciliation. And lastly, if the Hypony Tremie is severe, or you're uncertain about the etiology, unless the patient is hypervalemic, I'd be reaching for the DVABP clamp and Hypertonic saline to reduce your risk of overcorrection.

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