Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology is not quickly reversible - If Uosm > 500, consider adding loop diuretic Reset Osmostat - Treatment not indicated Any form of volume depletion - IV Fluids - CAREFUL for over-correction (improved volume status turns off ADH -> free water diuresis) 1° polydipsia - Normalize fluid intake Dr. Eric Strong https://twitter.com/DrEricStrong #Hyponatremia #Treatment #Algorithm #Management