Treatment of acute hyponatremia?
Because osmotic demyelination syndrome (ODS) can have devastating consequences, few things are harder and scarier for a nephrologist than the acute treatment of hyponatremia. Like Goldilocks and the three bears, it needs to be “just right”, which is easier said than done even with a well-planned and diligent management strategy. ODS is a consequence of a too rapid increase in extracellular osmolality in chronic hyponatremia where cell volume is essentially normal. What about acute hyponatremia? Are the risks the same? How do we even know if it is acute vs chronic? These questions are discussed in this Communities thread.
Summary provided by Roger Rodby, MD, MS
Previous Community Minded Summaries are available at: https://community.asn-online.org/browse/communityminded