Treatment of Hyponatremia
Authors: Roland C. K. Ng
Journal: Annals of Internal Medicine (1991)

Letters1 February 1991Treatment of HyponatremiaRoland C. K. Ng, MDRoland C. K. Ng, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-114-3-248 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: I read with great anticipation the editorial on hyponatremia by Dr. Berl (1) but was again disappointed with the guidelines for treatment. Experts in the field have written a profusion of articles on hyponatremia (2, 3). To "clarify" treatment, I would like to show what a blow-by-blow comparison looks like:Acute (<24 h) symptomatic hyponatremia: Berl (1): "Correcting hyponatremia of shorter duration carries no untoward consequences regardless of the treatment regimen . . . acute symptomatic hyponatremia should be treated promptly." Sterns (2): "When the clinical situation demands it, correction can be safely initiated at 1 to...References1. Berl T. Treating hyponatremia: what is all the controversy about? Ann Intern Med. 1990;113:417-9. LinkGoogle Scholar2. Sterns R. The treatment of hyponatremia: first, do no harm. Am J Med. 1990;88:557-60. CrossrefMedlineGoogle Scholar3. AyusArieff JA. Symptomatic hyponatremia: correcting sodium deficits safely. J Crit Illness. 1990;5:905-18. Google Scholar4. AyusArieff JA. Symptomatic hyponatremia: making the diagnosis rapidly. J Crit Illness. 1990;5:846-56. Google Scholar1. Berl T. Treating hyponatremia: what is all the controversy about? Ann Intern Med. 1990;113:417-9. LinkGoogle Scholar2. AyusKrothapalliArieff JRA. Treatment of symptomatic hyponatremia and its relation to brain damage: a prospective study. N Engl J Med. 1987;317:1190-5. CrossrefMedlineGoogle Scholar3. CluitmansMeinders FA. Management of severe hyponatremia: rapid or slow correction. Am J Med. 1990;88:161-6. CrossrefMedlineGoogle Scholar4. SternsRiggsSochet RJS. Osmotic demyelination syndrome following correction of hyponatremia. N Engl J Med. 1986;324:1535-42. CrossrefGoogle Scholar1. Berl T. Treating hyponatremia: what is all the controversy about? Ann Intern Med. 1990;113:417-9. LinkGoogle Scholar2. Sterns R. The treatment of hyponatremia: first, do no harm. Am J Med. 1990;88:557-60. CrossrefMedlineGoogle Scholar3. Sterns R. The management of symptomatic hyponatremia. Semin Nephrol. 1990;10:503-14. MedlineGoogle Scholar4. SternsRiggsSchochet RJS. Osmotic demyelination syndrome following correction of hyponatremia. N Engl J Med. 1986; 314:1535-42. CrossrefMedlineGoogle Scholar5. Sterns R. Severe symptomatic hyponatremia: treatment and outcome. A study of 64 cases. Ann Intern Med. 1987;107:656-64. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: 321 N. Kuakini Street #404 Honolulu, HI 96817 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 February 1991Volume 114, Issue 3Page: 248-249KeywordsHyponatremiaTreatment guidelines Issue Published: 1 February 1991 PDF downloadLoading ...