Newcastle University, Newcastle, UK.
Hyponatraemia (serum Na+<135 mmol/l) is common. It is associated with increased mortality and morbidity across a range of clinical contexts. Despite this, it remains an area in which there is diverse practice. There are centre and speciality-specific approaches to diagnosis and management that reflect both the apparent absence of a clear evidence-base and differences in perceived clinical priorities.
This presentation will focus on a number of key themes.
An evidence-based approach to defining aetiology of the hyponatraemia.
Finding the balance in treating the patient rather than simply treating the serum Na+ concentration.
When (and when not) to use hypertonic fluid.
Approaches to the management of over-correction.