Hyponatremia: Detection and Management in the Hospital Setting

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Release Date: Sep 18, 2014          Expiration Date: Sep 18, 2015

Program Description

Hyponatremia is a common electrolyte disorder associated with significant morbidity and mortality. This is especially the case when hyponatremia is associated with neurologic symptoms. Asymptomatic hyponatremia also worsens outcomes, but this condition frequently goes undiagnosed and untreated. This is, in part, because it is often asymptomatic or presents as a complication of a serious medical illness that requires dedicated medical attention. However, it is imperative that clinicians quickly recognize the symptoms of hyponatremia and implement appropriate therapy to prevent prolonged hospitalization and possible dire clinical consequences.

This educational initiative is designed to promote effective and positive changes to clinician knowledge, competence, and confidence, resulting in improved patient care and outcomes.


Download (PDF) Click here to download "Diagnosis and Management of Hyponatremia: A Clinical Practice Tool."

This tool is meant to be used in conjunction with proper supervision from the appropriate clinical services.

The opinions expressed herein are those of the authors and do not necessarily represent the views of Albert Einstein College of Medicine, Montefiore Medical Center, Rockpointe, or Otsuka USA. Please review complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.


Ladan Golestaneh, MD – Co-chair/Program Faculty
Associate Professor of Medicine (Adult Nephrology)
Albert Einstein College of Medicine
Renal Division
Montefiore Medical Center
Bronx, NY

Read Biography



Jeffrey M. Ceresnak, MD
Assistant Professor of Medicine
Albert Einstein College of Medicine
Montefiore Medical Center
Division of Hospital Medicine
Bronx, NY


Frederick Kaskel, MD – Chair
Professor, Department of Pediatrics (Nephrology)
Vice Chair for Affiliate and Network Relations, Department of Pediatrics
Chief, Section of Nephrology, Department of Pediatrics
Albert Einstein College of Medicine
Montefiore Medical Center
Bronx, NY


Ariel L Shiloh, MD
Director, Critical Care Consult Service
Assistant Professor of Clinical Medicine and Neurology
Critical Care Medicine
Montefiore Medical Center
Albert Einstein College of Medicine
Bronx, NY


William Southern, MD, MS, SFHM
Chief, Division of Hospital Medicine
Professor of Clinical Medicine
Albert Einstein College of Medicine
Montefiore Medical Center
Bronx, NY


Faraj Al Qaraghuli, MD, MPH – CLG Data Analyst
Clinical Research Coordinator
Department of Medicine
Division of Cardiology
Montefiore Medical Center
Bronx, NY



Janet U. Gorkin, MD
Clinical Professor, Department of Medicine (Nephrology)
Albert Einstein College of Medicine
Bronx, NY

Target Audience

The target audience for this educational activity is hospital-based clinicians who commonly encounter patients with hyponatremia.

Educational Objectives

At the conclusion of this activity, participants should be able to demonstrate the ability to:

  • Identify hospitalized patients with hyponatremia that require improvement in serum sodium levels
  • Evaluate when and how various therapeutic options should be utilized in the treatment of hyponatremia
  • Analyze the pathophysiology of hyponatremia development in the workup and treatment of the disorder
  • Recognize the limitations of some diagnostic tests in the setting of renal failure and proceed with the appropriate management of hyponatremia in the setting of renal failure


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Albert Einstein College of Medicine of Yeshiva University and Rockpointe Corporation. Albert Einstein College of Medicine of Yeshiva University is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

Albert Einstein College of Medicine of Yeshiva University designates this online activity for a maximum of 1.0 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Albert Einstein College of Medicine of Yeshiva University adheres to the policies and guidelines, including the Standards for Commercial Support, set forth to providers by the Accreditation Council for Continuing Medical Education (ACCME) and all other professional organizations, as applicable, stating those activities where continuing education credits are awarded must be balanced, independent, objective, and scientifically rigorous.

All persons in a position to control the content of a continuing medical education program provided by Albert Einstein College of Medicine of Yeshiva University are required to disclose any relevant financial relationships with any commercial interest to Albert Einstein College of Medicine of Yeshiva University as well as to learners. All conflicts are identified and resolved by Albert Einstein College of Medicine of Yeshiva University in accordance with the Standards for Commercial Support in advance of delivery of the activity to learners.

The content of this activity was vetted by an external medical reviewer to assure objectivity and that the activity is free of commercial bias.

The faculty and steering committee reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:

Ladan Golestaneh, MD: Nothing to disclose.

Jeffrey M. Ceresnak, MD: Nothing to disclose.

Frederick Kaskel, MD: Nothing to disclose.

Ariel L Shiloh, MD: Nothing to disclose.

William Southern, MD, MS, SFHM: Nothing to disclose.

Faraj Al Qaraghuli, MD, MPH: Nothing to disclose.

Janet U. Gorkin, MD: Nothing to disclose.

Non-faculty Disclosures
Non-faculty content contributors and/or reviewers reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:

Rockpointe Corporation: Barry Watkins, PhD; Blair St. Amand; Jay Katz, CCMEP have nothing to disclose;
Albert Einstein College of Medicine/Montefiore Medical Center, CCME: Victor Hatcher, PhD; Ana Maria Martinez have nothing to disclose

FDA Disclosure

The contents of some CME activities may contain discussions of non-approved or off-label uses of some agents mentioned. Please consult the prescribing information for full disclosure of approved uses.

System Requirements

In order to view this presentation, your computer must have audio capabilities (working speakers or headphones) and must have an Adobe Flash Player. The Adobe Flash Player can be downloaded here.


There is no fee for this activity. To receive credit, participants must take the pre-test, view this CME activity in its entirety, and then complete the post-test and evaluation. To complete the evaluation online, choose the best answer to each question. The estimated time for completion of this activity is 1.0 hour. To receive their certificates, participants must demonstrate mastery of the presented material via the post-test by obtaining a score of 80%. Participant is allowed to take the post-test multiple times.

For CME inquiries, please contact: cme@montefiore.org
For Technical problems, please contact contact@rockpointe-pcme.com


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Albert Einstein College of Medicine of Yeshiva University and Montefiore Medical Center's Center for Continuing Medical Education and Rockpointe

Supported By

Supported through an educational grant from Otsuka America Pharmaceutical, Inc.