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Four questions to ask yourself:
?Is the patient symptomatic from their hyponatremia (confusion, nausea/vomiting, ams, seizures, etc)
If not, outpatient followup (unless super low)
Is the patient having severe neurologic symptoms from their hyponatremia? (seizures, AMS)
If yes, treat with hypertonic saline (3%)
?Is the patient going to be admitted from their hyponatremia
If yes, obtain serum osmolarity to rule out pseudohyponatremia
?Is the patient dehydrated/hypovolemic
If yes, treat with NS bolus
If euvolemic/hypervolemic, treat with fluid restriction
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