Hyponatremia

Treatment Algorithm to Hyponatremia

Determine the following:

1. Corrected Sodium
2. Chronicity Acute Chronic
3. Severity
4. Symptoms
5. Volume Status

Minimal/Mild Symptoms Moderate Symptoms Severe Symptoms

Hypovolemic Euvolemic Hypervolemic

Volume and Rapid Na Fluid restriction Rapid Na

solute repletion correction, 4-6 correction, 4-6
meqs initial. meqs initial.
Repeat serum Na Repeat serum Na
every 4-6 hours every 4-6 hours