Part 6 · Hormones I — The Pituitary, Water, Salt and Adrenals
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For hyponatraemia, triage symptoms and acuity, check serum osmolality, then urine osmolality and urine sodium with volume, medicines, adrenal and thyroid context. Severe symptoms need controlled hypertonic saline. Hypernatraemia requires circulation first if shocked, then water replacement.
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