DESI EM PROJECT - EPISODE 4 - THE ONE WITH "LOW SODIUM LEVELS - HYPONATREMIA"

Drs Sanjay, Shivani and Anubhooti join us today to discuss Hyponatremia - an easy approach and how to manage it according to the pathophysiology. It's an interesting take as hyponatremia remains as one of the most common presentations to an ED but yet under/over treated. The 6 step approach that Dr Shivani describes is as follows - 

First - correctly diagnose hyponatremia (Na <130)

Second - classification based on  time of onset of symptoms, serum osmolality levels and volume status of the patient - Acute/chronic, hyper/hypoosmolar, hypo/eu/hyper-volemic

Third  - identify the cause

Fourth -  co -relate it with the pathophysiology.

Fifth - calculate the actual sodium deficit and rate of correction.

Sixth - correct management

You can ask Drs Sanjay and Shivani more regarding hyponatremia - Their twitter handles are - @drbobby71sanjay and @drshivanisarda