How often do you check urine osmolality and urine electrolytes when treating hospitalized patients with hyponatremia?
Answer from: at Academic Institution
Correction of hypovolemia with isotonic saline may result in overly rapid correction of hypovolemic hyponatremia once the stimulus for ADH secretion is removed, resulting in the excretion of a very dilute urine. Therefore, urinary electrolytes and osmolality should be closely monitored every 3-4 hou...
I check every 3-4 hours for UOSM and UNa. Urine volume should be checked by staff every 2 hours, as that will provide the earliest indication of impending rapid correction.