Severe symptomatic or Na < 120 with neuro symptoms. Give 3% NaCl now, cap correction at 8 mEq/L in 24 h (4–6 in high ODS-risk), rescue with D5W+DDAVP if overshoot.
Authored pathway active · hyponatraemia.icu
Severe symptomatic or Na < 120 with neuro symptoms. Give 3% NaCl now, cap correction at 8 mEq/L in 24 h (4–6 in high ODS-risk), rescue with D5W+DDAVP if overshoot.
Guidelines: European Society of Endocrinology / ERBP 2014 · US Expert Panel Hyponatremia (Am J Med 2013) · ICU Severe Hyponatremia Management (CCM 2021 review)
Phenotypes (3)
- Hyponatraemia — SIADH (Euvolaemic, Hypotonic)
- Hyponatraemia — Hypovolaemic (Sodium and Water Depleted)
- Severe Symptomatic Hyponatraemia (Na <120 or seizures/coma)
Pathway-scoped symptom and exam intake
Test this pathway's ROS and differential links
Uses LR engine syndrome.hyponatremia.core.v1, then routes suggested engines into the workspace.
19-panel workspace
hyponatraemia · ICUStart patient workup
Open a scratch or linked encounter, add active problems, then keep labs, fluids, acid-base, and electrolyte tools beside the main workspace instead of losing context.
Encounter and problems
No encounter open. Add a problem to create a scratch encounter when none is open.
Multi-window tools
Unified
labs + fluids + acid-base
Labs
fast lab analyzer
Fluid
resuscitation and balance
Electrolytes
Na/K/Mg/Phos/Ca
ABG/VBG
compensation and mixed disorders
Popular entry points
6 quick-startsOr jump straight to the atlas
The Engine Atlas covers every authored disease package with setting chips and pathway badges. Open any engine to load its 19-panel workspace, backed by phenotype-aware reasoning and monitored by the Flow Assistant.