Sections View Full Chapter Figures Tables Videos 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] GET ACCESS TO THIS RESOURCE 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. 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 Get Free Access Through Your Institution Contact your institution's library to ask if they subscribe to McGraw-Hill Medical Products. Access My Subscription GET ACCESS TO THIS RESOURCE Subscription Options Pay Per View Timed Access to all of AccessSurgery 24 Hour $34.95 (USD) Buy Now 48 Hour $54.95 (USD) Buy Now Best Value AccessSurgery Full Site: One-Year Individual Subscription $995 USD Buy Now View All Subscription Options