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Department of Internal Medicine, Rijnstate Hospital Arnhem
The aim of initial treatment for severe hyponatremia is to rapidly increase serum sodium to mitigate complications such as cerebral edema. This clinical research article presents a retrospective analysis of 130 adults with severe hypotonic hyponatremia, evaluating the outcomes of two different bolus volumes. The findings indicate a significant difference in the percentage of patients achieving a rise in serum sodium after treatment with the two bolus sizes, contributing to the ongoing debate regarding optimal treatment strategies.
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