Management of Chronic Hyponatremia in Older Adults

Initial Assessment & Immediate Actions

Treatment Based on Volume Status

Hypovolemic or Elevated Creatinine (>150 µmol/L / >1.7 mg/dL)

Euvolemic Presentation

Hypervolemic Presentation (e.g., edema, ascites)

Correction Rate and Monitoring Protocol

Contraindicated Therapies

Second‑Line Pharmacologic Options (if fluid restriction fails)

Special Considerations for Patients ≥70 Years

Common Pitfalls to Avoid

Monitoring Timeline