A 58-year-old with symptomatic hyponatremia (Na 116 mEq/L, confusion) is diagnosed with hypotonic hyponatremia of unknown chronicity. Which initial th...

Question

A 58-year-old with symptomatic hyponatremia (Na 116 mEq/L, confusion) is diagnosed with hypotonic hyponatremia of unknown chronicity. Which initial therapy is recommended?

Accepted Answer

3% hypertonic saline bolus with careful correction limits

Answer

0.9% saline at 250 mL/h until Na >130

Answer

Fluid restriction only

Answer

Demeclocycline immediately

Answer

No treatment; observe

us-abem MCQ (SBA): Hyponatremia

A 58-year-old with symptomatic hyponatremia (Na 116 mEq/L, confusion) is diagnosed with hypotonic hyponatremia of unknown chronicity. Which initial therapy is recommended?