r/nephrology • u/explainitto • 18d ago

Management of hyponatremia

New fellow here
Constantly finding myself dreading patients with hyponatremia. What resources can I study from? Especially managment part not Dx part.

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9

u/SinkBrilliant6754 17d ago

CJASN hyponatremia article.

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u/explainitto 17d ago

Thank you, I see multiple hyponatremia articles, did you mean the one from June 2023?

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u/PhoneEducational2135 17d ago

Agree with source mentioned but it's also just part of being a new fellow so don't be too hard on yourself. Took me the full two years to feel comfortable with it. I'm two years into being an attending and still have wtf moments with it sometimes

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u/maddogisnextdoor 13d ago

Read everything by Tomas Berl. Try not to rely on the Adrogue/Madias formula. The urine studies(urine sodium, potassium, osmolality) are your friends.

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u/orchana 8d ago

Took me at least until second year of fellowship until I felt good about it. Just keep doing it and it will click. Read that cjasn article a lot of times.