Severity → tonicity → volume → cause → correct safely. Never correct faster than 8–10 mEq/L in 24 h (4–6 in high-ODS-risk).
Authored pathway active · hyponatraemia.inpatient
Severity → tonicity → volume → cause → correct safely. Never correct faster than 8–10 mEq/L in 24 h (4–6 in high-ODS-risk).
Guidelines: European Society of Endocrinology / ERBP 2014 (EJE 2014) · US Expert Panel Hyponatremia (Am J Med 2013) · Endocrine Society SIADH Clinical Practice Guideline
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
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Uses LR engine syndrome.hyponatremia.core.v1, then routes suggested engines into the workspace.
19-panel workspace
hyponatraemia · InpatientStart patient workup
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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
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