Core IM | Internal Medicine Podcast

#82 Hyponatremia Diagnostics: 5 Pearls Segment

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Feb 10, 2021
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ADVICE

Obtain Labs Before Fluids

  • Always obtain urine studies before administering fluids in hyponatremia cases.
  • This allows for accurate assessment and avoids misleading results.
INSIGHT

Cartesian Space of Hyponatremia

  • Hyponatremia is not about finding one etiology, but understanding the interplay of ADH and volume status.
  • Consider these factors within a two-dimensional framework for a comprehensive approach.
ADVICE

Check Serum Osmolality

  • Serum osmolality is a crucial initial step in hyponatremia.
  • It confirms true hypotonic hyponatremia and guides further investigation.
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