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How often do you check urine osmolality and urine electrolytes when treating hospitalized patients with hyponatremia?

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Mednet Member
Mednet Member
Nephrology · UCLA

Correction of hypovolemia with isotonic saline may result in overly rapid correction of hypovolemic hyponatremia once the stimulus for ADH secretion is removed, resulting in the excretion of a very dilute urine. Therefore, urinary electrolytes and osmolality should be closely monitored every 3-4 hou...

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Mednet Member
Mednet Member
Nephrology · UCSF School of Medicine

I check every 3-4 hours for UOSM and UNa. Urine volume should be checked by staff every 2 hours, as that will provide the earliest indication of impending rapid correction.

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How often do you check urine osmolality and urine electrolytes when treating hospitalized patients with hyponatremia? | Mednet