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ForwardThe Hospitalist’s Role in the Perioperative Management of Hyponatremia
Amteshwar Singh, MD M.Ed., FACP
Benjamin Sneed, MD, FHM
Based on the revision, The Hospitalist’s Role in the Perioperative Management of Hyponatremia, by Robert Centor, MD, originally by Dennis Chang, MD.
If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.
SUMMARY
Hyponatremia is the most common electrolyte abnormality that occurs in hospitalized patients, and it is recognized as a serious in-hospital complication. It is a complex electrolyte disorder that results mainly from water imbalances and dysregulation of arginine vasopressin. Hyponatremia is associated with increased morbidity and mortality among geriatric patients and patients with heart, liver, or neurologic diseases. The following educational module discusses the pathophysiology of hyponatremia, outlines methods for differentiating the cause, and provides examples of how to manage hyponatremia in various situations commonly faced by hospitalists.
LEARNING OBJECTIVES
After completing the module, the participant should be able to:
- Describe the significance of perioperative hyponatremia and patient outcomes.
- Describe the pathophysiology of hyponatremia.
- Use a simple algorithm to diagnose the cause of hyponatremia.
- Summarize the causes of euvolemic hyponatremia and formulate a treatment plan for asymptomatic or mildly symptomatic euvolemic hyponatremia.
- Formulate a treatment plan for symptomatic hyponatremia.
- Formulate a treatment plan for hypervolemic hyponatremia.
- Formulate a treatment plan for hypovolemic hyponatremia.
INSTRUCTIONS
The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test and a CME evaluation. All sections must be completed to receive CME credit.
Additional Information
| Attachment | Size |
|---|---|
 References - Perioperative Management of Hyponatremia | 135.88 KB |
Authors
Amteshwar Singh, MD M.Ed., FACP
Benjamin Sneed, MD, FHM
Editors
Leonard Feldman, MD, FACP, SFHM
Kurt Pfeifer, MD, FACP, SFHM
Disclosures
The faculty and planners of these activities have no relevant relationships to disclose unless denoted above. All relevant relationships were mitigated prior to the start of this activity.
Conflict of Interest Disclosure Policy
In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.
Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.
ACCREDITATION STATEMENT
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
CREDIT DESIGNATION STATEMENT
The Society of Hospital Medicine designates this activity for a maximum of 2.00 AMA PRA Category 1 CreditsTM. Physicians should claim only credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Available Credit
- 2.00 ABIM MOC Self Evaluation PointsSuccessful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
- 2.00 AMA PRA Category 1 Credit™
Price
The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test, and CME evaluation. All sections must be completed to receive CME credit.
Click START to begin.
If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.