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1. Hyponatremia, the most common electrolyte imbalance seen in hospitals, is classified by which of the following:

A. Plasma tonicity B. Extracellular fluid volume status C. Neurological symptom severity D. All of the above

2. After a half marathon, a runner presents to your emergency department with headache, nausea, mild cognitive impairment and serum sodium of 128 mmol/L. What should you do?

A. Monitor for any worsening of symptoms. B. Determine urine osmolality. C. Start intravenous 3% hypertonic saline immediately. D. Start intravenous 0.9% isotonic saline.

3. Serum osmolality can distinguish between true hyponatremia and which of the following conditions?

A. Hyperglycemia B. Hyperlipidemia C. Hyperproteinemia D. All of the above

4. What is the best course of therapy for a patient with mild to moderate chronic hypovolemic hyponatremia?

A. Intravenous 3.0% hypertonic saline B. Intravenous 0.9% isotonic saline C. Diuretics D. Vasopressin receptor antagonists

5. Your hyponatremic patient is an appropriate candidate for oral vaptan therapy. What precaution do you not need to take to ensure safety?

A. Adjust dose based on weight. B. Titrate dose based on response. C. Monitor serum sodium every 4-6 hours. D. Provide unlimited water on first day.

6. To minimize the risk of osmotic demyelination in patients with severe chronic hyponatremia, cirrhosis or other risk factors, serum sodium increases should be limited to which rate?

A. There is no recommended limit. B. 12 mmol/L in 24 hours C. 8 mmol/L in 24 hours D. 4 mmol/L in 24 hours

Maintenance is scheduled for 05/16/2024 5:00 PM EST - 05/17/2024 5:00 AM EST.

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1. Hyponatremia, the most common electrolyte imbalance seen in hospitals, is classified by which of the following:

2. After a half marathon, a runner presents to your emergency department with headache, nausea, mild cognitive impairment and serum sodium of 128 mmol/L. What should you do?

3. Serum osmolality can distinguish between true hyponatremia and which of the following conditions?

4. What is the best course of therapy for a patient with mild to moderate chronic hypovolemic hyponatremia?

5. Your hyponatremic patient is an appropriate candidate for oral vaptan therapy. What precaution do you not need to take to ensure safety?

6. To minimize the risk of osmotic demyelination in patients with severe chronic hyponatremia, cirrhosis or other risk factors, serum sodium increases should be limited to which rate?

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Maintenance is scheduled for 05/16/2024 5:00 PM EST - 05/17/2024 5:00 AM EST.

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1. Hyponatremia, the most common electrolyte imbalance seen in hospitals, is classified by which of the following:

2. After a half marathon, a runner presents to your emergency department with headache, nausea, mild cognitive impairment and serum sodium of 128 mmol/L. What should you do?

3. Serum osmolality can distinguish between true hyponatremia and which of the following conditions?

4. What is the best course of therapy for a patient with mild to moderate chronic hypovolemic hyponatremia?

5. Your hyponatremic patient is an appropriate candidate for oral vaptan therapy. What precaution do you not need to take to ensure safety?

6. To minimize the risk of osmotic demyelination in patients with severe chronic hyponatremia, cirrhosis or other risk factors, serum sodium increases should be limited to which rate?

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