Hyponatremia - Revision history

Danbot: Embed Corrected Sodium Calculator on clinical page

2026-03-22T09:55:53Z

Embed Corrected Sodium Calculator on clinical page

← Older revision		Revision as of 09:55, 22 March 2026
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	== Calculators ==		== Calculators ==
			{{Corrected Sodium Calculator}}
	{{Sodium_Deficit_Calculator}}		{{Sodium_Deficit_Calculator}}

Danbot: Add Serum_Osmolality_Calculator to page

2026-03-21T16:32:05Z

Add Serum_Osmolality_Calculator to page

← Older revision		Revision as of 16:32, 21 March 2026
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	== Calculators ==		== Calculators ==
	{{Sodium_Deficit_Calculator}}		{{Sodium_Deficit_Calculator}}

			{{Serum_Osmolality_Calculator}}

	==External Links==		==External Links==

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:07:38Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Older revision		Revision as of 15:07, 21 March 2026
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	*[[Electrolyte abnormalities]]		*[[Electrolyte abnormalities]]
	*[[Osmotic demyelination syndrome]]		*[[Osmotic demyelination syndrome]]

			== Calculators ==
			{{Sodium_Deficit_Calculator}}

	==External Links==		==External Links==
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	==References==		==References==
	<references/>		<references/>


	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 Sodium Deficit Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{Sodium_Deficit_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:FEN]]		[[Category:FEN]]

Danbot: Add Sodium Deficit calculator (collapsible)

2026-03-21T13:45:12Z

Add Sodium Deficit calculator (collapsible)

← Older revision		Revision as of 13:45, 21 March 2026
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	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 Sodium Deficit Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{Sodium_Deficit_Calculator}}
			</div>
			</div>
	[[Category:FEN]]		[[Category:FEN]]

Danbot: Add MedicationDose template calls for desmopressin (DDAVP) dosing for SMW integration

2026-03-20T22:21:00Z

Add MedicationDose template calls for desmopressin (DDAVP) dosing for SMW integration

← Older revision		Revision as of 22:21, 20 March 2026
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	#*Aim for a 5 mmol/l per 24-h increase in serum sodium concentration		#*Aim for a 5 mmol/l per 24-h increase in serum sodium concentration
	#*Limit increase to 10 mmol/l in the first 24 h (8 mmol/l during every 24 h thereafter), until a serum sodium concentration of 130 mmol/l is reached		#*Limit increase to 10 mmol/l in the first 24 h (8 mmol/l during every 24 h thereafter), until a serum sodium concentration of 130 mmol/l is reached
	#~~Consider DDAVP (2mcgs~~ IV q8h) to prevent overcorrection		#{{MedicationDose\|drug=Desmopressin\|dose=2 mcg IV q8h\|route=IV\|context=Prevent overcorrection of sodium\|indication=Hyponatremia\|population=Adult}} to prevent overcorrection
	#Manage the patient as in severely symptomatic hyponatraemia if the serum sodium concentration further decreases despite treating the underlying diagnosis (2D).		#Manage the patient as in severely symptomatic hyponatraemia if the serum sodium concentration further decreases despite treating the underlying diagnosis (2D).

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	**DDAVP prevents free water excretion renally		**DDAVP prevents free water excretion renally
	**Give 3% hypertonic saline based on calculations above		**Give 3% hypertonic saline based on calculations above
	**~~Give [[desmopressin]]~~ 1-2 µg IV ~~q6 hours~~		**{{MedicationDose\|drug=Desmopressin\|dose=1-2 mcg IV q6h\|route=IV\|context=Combined with hypertonic saline for safe correction\|indication=Hyponatremia\|population=Adult}}
	**Patients must be PO water restricted		**Patients must be PO water restricted
	*Goal sodium is 6 mEq/L over first 24 hours		*Goal sodium is 6 mEq/L over first 24 hours

Kxl328: /* DDAVP]] Combined with Hypertonic Saline */

2020-02-15T07:06:21Z

DDAVP]] Combined with Hypertonic Saline

← Older revision		Revision as of 07:06, 15 February 2020
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	\|}		\|}

	==[[DDAVP]] Combined with Hypertonic Saline]]==		==[[DDAVP]] Combined with Hypertonic Saline==
	*Limited evidence suggests usage of [[DDAVP]] in combination with HTS can safely increase sodium, while lowering risk for over-correction<ref>Sood L et al. Hypertonic saline and desmopressin: a simple strategy for safe correction of severe hyponatremia. Am J Kidney Dis. 2013 Apr;61(4):571-8.</ref>		*Limited evidence suggests usage of [[DDAVP]] in combination with HTS can safely increase sodium, while lowering risk for over-correction<ref>Sood L et al. Hypertonic saline and desmopressin: a simple strategy for safe correction of severe hyponatremia. Am J Kidney Dis. 2013 Apr;61(4):571-8.</ref>
	**DDAVP prevents free water excretion renally		**DDAVP prevents free water excretion renally

Kxl328: /* Calculating Sodium Replacement Therapy */

2020-02-15T07:06:08Z

Calculating Sodium Replacement Therapy

← Older revision		Revision as of 07:06, 15 February 2020
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	\| 3% Saline\|\|513 mEq/L		\| 3% Saline\|\|513 mEq/L
	\|}		\|}

			==[[DDAVP]] Combined with Hypertonic Saline]]==
			*Limited evidence suggests usage of [[DDAVP]] in combination with HTS can safely increase sodium, while lowering risk for over-correction<ref>Sood L et al. Hypertonic saline and desmopressin: a simple strategy for safe correction of severe hyponatremia. Am J Kidney Dis. 2013 Apr;61(4):571-8.</ref>
			**DDAVP prevents free water excretion renally
			**Give 3% hypertonic saline based on calculations above
			**Give [[desmopressin]] 1-2 µg IV q6 hours
			**Patients must be PO water restricted
			*Goal sodium is 6 mEq/L over first 24 hours

	==Disposition==		==Disposition==

Kxl328: /* External Links */

2020-02-15T06:19:20Z

External Links

← Older revision		Revision as of 06:19, 15 February 2020
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	*[http://emcrit.org/podcasts/hyponatremia/ EMCrit Hyponatremia Management]		*[http://emcrit.org/podcasts/hyponatremia/ EMCrit Hyponatremia Management]
	*[http://ddxof.com/electrolyte-abnormalities/ DDxOf: Differential Diagnosis of Electrolyte Abnormalities]		*[http://ddxof.com/electrolyte-abnormalities/ DDxOf: Differential Diagnosis of Electrolyte Abnormalities]
	*[https://emcrit.org/pulmcrit/taking-control-of-severe-hyponatremia-with-ddavp/ DDAVP Clamp]		*[https://emcrit.org/pulmcrit/taking-control-of-severe-hyponatremia-with-ddavp/ PulmCrit DDAVP Clamp]

	==References==		==References==

Kxl328: /* External Links */

2020-02-15T06:18:55Z

External Links

← Older revision		Revision as of 06:18, 15 February 2020
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	*[http://emcrit.org/podcasts/hyponatremia/ EMCrit Hyponatremia Management]		*[http://emcrit.org/podcasts/hyponatremia/ EMCrit Hyponatremia Management]
	*[http://ddxof.com/electrolyte-abnormalities/ DDxOf: Differential Diagnosis of Electrolyte Abnormalities]		*[http://ddxof.com/electrolyte-abnormalities/ DDxOf: Differential Diagnosis of Electrolyte Abnormalities]
			*[https://emcrit.org/pulmcrit/taking-control-of-severe-hyponatremia-with-ddavp/ DDAVP Clamp]

	==References==		==References==

Rossdonaldson1: /* See Also */

2020-01-11T14:31:12Z

← Older revision		Revision as of 14:31, 11 January 2020
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	==See Also==		==See Also==
	*[[Electrolyte ~~Abnormalities (Main)~~]]		*[[Electrolyte abnormalities]]
	*[[Osmotic demyelination syndrome]]		*[[Osmotic demyelination syndrome]]