RE: [EXTERNAL] RE:"borderline hyponatremia"
Few things irritate me more than insurance companies inventing their own criteria.
http://emedicine.medscape.com/article/242166-overview
Hyponatremia
Essential update: New European guidelines for hyponatremia released
The European Society of Intensive Care Medicine, the European Society of Endocrinology, and the European Renal Association–European Dialysis and Transplant Association have released guidelines on the diagnosis, classification, and treatment of true hypotonic hyponatremia. Recommendations include the following:
• "Mild" hyponatremia is defined as a serum sodium concentration between 130 and 135 mmol/L, "moderate" hyponatremia as a concentration between 125 and 129 mmol/L, and "profound" hyponatremia as a concentration less than 125 mmol/L.
and
Diagnosis, Evaluation, and Treatment of Hyponatremia:
Expert Panel Recommendations
http://static1.squarespace.com/static/535bcb2fe4b05fe61b320c51/t/53a1973be4b0d840eaf08e37/1403098939218/PIIS0002934313006050.pdf
A more recent study that analyzed adverse outcomes in a large number of hospitalized hyponatremic patients proposed revising the definition of hyponatremia to serum [Naþ]
http://emedicine.medscape.com/article/242166-overview
Hyponatremia
Essential update: New European guidelines for hyponatremia released
The European Society of Intensive Care Medicine, the European Society of Endocrinology, and the European Renal Association–European Dialysis and Transplant Association have released guidelines on the diagnosis, classification, and treatment of true hypotonic hyponatremia. Recommendations include the following:
• "Mild" hyponatremia is defined as a serum sodium concentration between 130 and 135 mmol/L, "moderate" hyponatremia as a concentration between 125 and 129 mmol/L, and "profound" hyponatremia as a concentration less than 125 mmol/L.
and
Diagnosis, Evaluation, and Treatment of Hyponatremia:
Expert Panel Recommendations
http://static1.squarespace.com/static/535bcb2fe4b05fe61b320c51/t/53a1973be4b0d840eaf08e37/1403098939218/PIIS0002934313006050.pdf
A more recent study that analyzed adverse outcomes in a large number of hospitalized hyponatremic patients proposed revising the definition of hyponatremia to serum [Naþ]