Consequences of hyponatraemia

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Symptoms vary with the underlying aetiology, the magnitude of the reduction of plasma sodium and the rapidity with which the

HYPONATRAEMIA

EVALUATION OF EXTRACELLULAR FLUID VOLUME

Diarrhoea Vomiting Third space losses

Diuretic abuse Hypoadrenalism Salt losing nephropathy Renal tubular acidoses

Diarrhoea Vomiting Third space losses

Low SIADH SIIVT Drugs Hypothyroid Stress (post-op) Renal failure

Urine sodium >20mmol L1

Urine sodium <15mmol L_1

Urine sodium <20mmol L 1

Urine sodium variable

Depletional syndromes Saline required

Dilutional syndromes Fluid restriction required

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