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Hyponatremia
Important Questions
A. Is the lab value real? Repeat any

abnormal lab. Was it drawn above IV
site? What's the glucose? What are
lipids?

B. What's the volume state, based

both on the patient's history and
current exam? What fluids have been
administered?

Important Questions
C. CNS sx? Are there any recent prior

sodium levels to document the
chronicity of the hyponatremia? The
urgency of correction depends on the
patient's symptoms and the acuteness
of the hyponatremia's onset.

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