ea0094cmw1.2 | Endocrine Emergencies | SFEBES2023
Rees Aled
Hyponatraemia is the commonest electrolyte disturbance in hospitalised patients. Acute severe hyponatraemia is a medical emergency, leading to potential cerebral oedema and death if not actively managed. Prompt intervention with hypertonic saline is recommended to reverse neurological symptoms and prevent brain herniation, aiming for an initial sodium increase of 4 to 6 mmol. Overcorrection runs the risk of osmotic demyelination syndrome, hence further rapid sodium rise (to a ...