A 75-year-old man has new-onset confusion, hyponatraemia (Na 117 mmol/L), and seizures. Initial sodium correction strategy?...

Question

A 75-year-old man has new-onset confusion, hyponatraemia (Na 117 mmol/L), and seizures. Initial sodium correction strategy?

Accepted Answer

Slow correction; consider hypertonic saline boluses with strict monitoring

Answer

Rapid correction with hypertonic saline to normal within 6 hours

Answer

Fluid restriction only with no monitoring

Answer

Stop all fluids

Answer

Oral salt tablets only

mrcp part 1 MCQ (SBA): Severe Hyponatraemia