Pearls from Dr. Sumit Mohan

63 yo woman with schizophrenia presenting with confusion found to have hyponatremia to 113


  • Psychotropic Meds and Hyponatremia

    Posted 12/01/16 10:36:29 AM by Anna Krigel

  • Low BUN - seen in vegetarians and those with a low protein diet; can be important in the evaluation of hyponatremia as low BUN can signal a low solute intake
    Hypokalemia - low potassium can be seen in hyponatremia secondary to Na/K exchange in the distal tubule

    Posted 12/01/16 10:37:10 AM by Anna Krigel

  • Use urine specific gravity on the UA to predict urine osmolality: Drop the 1 and decimal points and multiply by 3 

    Posted 12/01/16 10:46:54 AM by Anna Krigel

  • Adrogue-Madias Formula - most widely used formula to predict the rate of correction of the sodium level; however, in patients treated with hypertonic saline, the formula tends to underestimate the rate of correction

    Posted 12/01/16 11:27:03 AM by Anna Krigel

  • Factors that Increase Risk for Osmotic Demyelination Syndrome

    Posted 12/01/16 11:29:44 AM by Anna Krigel

  • For further reading...

    Hyponatremia (NEJM)
    The Adrogue-Madias Formula Revisited (CJASN)
    Hypertonic Saline for Hyponatremia: Risk of Inadvertent Overcorrection (CJASN)

    Posted 12/01/16 11:31:55 AM by Anna Krigel

  • Created by Christopher Kelly
    Book be65e564ffbc09cd3ee32372501a5ece813f14b576dc711ff66870a4906e7f62
    Know a hypochondriac? Get them the best-selling book 'AM I DYING?!: A Complete Guide to Your Symptoms, and What to Do Next'
    The information on the website does not constitute official guidelines except where explicitly stated.
    It is not meant to replace the advice of a health professional.