PT - JOURNAL ARTICLE AU - Chirag Vaidya AU - Warren Ho AU - Benjamin J. Freda TI - Management of hyponatremia: Providing treatment and avoiding harm AID - 10.3949/ccjm.77a.08051 DP - 2010 Oct 01 TA - Cleveland Clinic Journal of Medicine PG - 715--726 VI - 77 IP - 10 4099 - http://www.ccjm.org/content/77/10/715.short 4100 - http://www.ccjm.org/content/77/10/715.full SO - Cleve Clin J Med2010 Oct 01; 77 AB - Hyponatremia, in its most severe form, requires urgent infusion of hypertonic saline to correct cerebral edema. However, overly rapid correction of chronic hyponatremia can cause osmotic demyelination syndrome. The authors review the treatment of hyponatremia in order to provide clinicians with a sound approach in a variety of settings in which severity, symptoms, and underlying disease states influence therapy. Also discussed is the current role of vasopressin antagonists in treatment.