Core IM | Internal Medicine Podcast

#109 Hyponatremia Management Part 1: 5 Pearls Segment

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Aug 3, 2022
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INSIGHT

Hyponatremia: A Water Problem

  • Hyponatremia is primarily a water balance issue, rarely caused by sodium problems.
  • Focus on managing the patient's fluid intake and underlying diseases if present.
ADVICE

Detailed Fluid History

  • Ask patients about all fluid intake, including coffee, juice, and even diet soda.
  • Inquire about dietary solute intake to assess overall fluid balance.
ANECDOTE

The Dove Bar Diet

  • Dr. William shared a case where a patient's diet primarily consisted of Dove bars.
  • This highlighted how low solute intake, even with fluids, can cause hyponatremia.
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