Hyponatremia

Top tips:

  1. Hyponatremia assessment begins with an assessment of the severity and of volume status.
  2. Severe, symptomatic hyponatremia is uncommon (~1% of patients), but it is a medical emergency.

General Cirrhosis Admission and Discharge Order Sets

*Add specific panels to general admission orders as appropriate*

For adults with cirrhosis requiring hospital admission
Cirrhosis Adult Admission Orders

For adults with cirrhosis requiring hospital discharge
Cirrhosis Adult Discharge Orders

Check out the bottom of the page for short videos from Dr. Pannu!

Hyponatremia in Cirrhosis

Introducing Dr. Pannu

Video 1 – Practical tips for managing hyponatremia in hospitalized patients with cirrhosis – a Nephrology perspective.

Coming soon!

Patient materials:

You can direct patients to the following:
Nutrition

References:

This section was adapted from content using the following evidence based resources in combination with expert consensus. The presented information is not intended to replace the independent medical or professional judgment of physicians or other health care providers in the context of individual clinical circumstances to determine a patient’s care.

Authors: Dr. Neesh Pannu, Dr. Rahima Bhanji, Dr. Marilyn Zeman, Dr. Vijey Selvarajah, Dr. Puneeta Tandon

References:

  1. EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis. J Hepatol 2018 Aug;69(2):406-460 PMID 29653741
  2. Hoorn EJ et al. Diagnosis and Treatment of Hyponatremia: Compilation of the Guidelines. Journal of the American Society of Nephrology. May 2017, 28(5):1340-1349 PMID 28174217
  3. Bajaj JS et al. The Impact of Albumin Use on Resolution of Hyponatremia in Hopsitalized Patients with Cirrhosis. Am J Gastroenterol 2018 Sep;113(9):1339 PMID 29880972
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