Roland C. K. Ng, MD
To 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
Ng RCK. Treatment of Hyponatremia. Ann Intern Med. ;114:248–249. doi: 10.7326/0003-4819-114-3-248
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Published: Ann Intern Med. 1991;114(3):248-249.
Endocrine and Metabolism, Fluid and Electrolyte Disorders, Nephrology.
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