text_1: This nursing home patient has hyponatremia.  The Washington Manual is no help.  Need to be off diuretics to use their algorithm, but what if they need the diuretic?  Do you put up with a sodium of 128 if they are on a diuretic and they need the diuretic?
text_2: Hyponatremia. Washington Manual no help because must be off diuretic to use algorithm.