Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + • Low serum sodium +++ Epidemiology + • Postoperative patients• Premenopuasal women post surgery +++ Symptoms and Signs + • Mental obtundation (sodium < 120 mEq/L) +++ Laboratory Findings + • Low serum sodium + • Must determine intravascular volume status to guide resuscitation + • Serum electrolytes + • Sodium replacement• Hypertonic sodium when severe• Raise serum sodium no more than 1-2 mEq/L/h +++ Treatment Monitoring + • Serum electrolytes +++ Complications + • Permanent brain damage +++ Prognosis + • Excellent +++ Prevention + • Judicious IV administration +++ References ++Adrogue HJ et al. Hyponatremia. N Engl J Med. 2000;342:1581. [PubMed: 10824078] Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth