Causes of hyponatremia

 Factitious; drip arm

 Pseudohyponatremia
o paraproteinemia
o Hyperlipidemia
o Hyperglycemia
 Normovolemic
o SIADH
o water intoxication
o Sick cell syndrome
 Hypovolemic
o Renal losses
 Excess diuretics
 Addisons
 Na losing nephritis
 RTA
 Osmolar diuretics
o Extrarenal losses
 Vomiting
 Diarrhoea
 Burns
 Hypervolemic
o Renal failure
o Liver failure
o Cardiac failure

Causes of SIADH
 Tumors
o Bronchogenic
o Pancreatic
o Duodenal
o nasopharyngeal
o Leukemia
o Hodgkins disease
o Thymoma
 Neurologic
o Psychosis
o Trauma
o Neoplasms
o CVA
o Meningitis
o Brain abscess
o Encephalitis
o Guillian-Barre
o Multiple sclerosis
 Pulmonary
o Pneumonia
o Functional; asthma, resp failure
 Endocrine
o Hypothyroidism
o Hypopituitarism
 Drugs
o Tri-cyclic's, SSRI, MOA
o Carbamazepine
o Cyclophosphamide
o Vincritine, vinblastine
o Chlorpropamide
o Bromocriptine
o Opiates