The Hospitalist’s Role in the Perioperative Management of Hyponatremia

Robert Centor, MD, MACP

Based on the original, The Hospitalist’s Role in the Perioperative Management of Hyponatremia, by Dennis Chang, MD.

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 the elderly and in 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 a variety of situations commonly faced by hospitalists.

GOAL

To provide hospitalists with current information and guidelines for the treatment of hyponatremia.

TARGET AUDIENCE

This activity is designed for hospitalists. 

LEARNING OBJECTIVES

After completing the module, the participant should be able to:

  1. Describe the pathophysiology of hyponatremia.
  2. Use a simple algorithm to diagnose the cause of hyponatremia.
  3. Summarize the causes of euvolemic hyponatremia and formulate a treatment plan for asymptomatic or mildly symptomatic euvolemic hyponatremia.
  4. Formulate a treatment plan for symptomatic hyponatremia.
  5. Formulate a treatment plan for hypervolemic hyponatremia.
  6. Formulate a treatment plan for hypovolemic hyponatremia.
CME INFORMATION

Accrediation 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 AMA PRA Category 1 CreditsTM. Physicians should only claim 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 points [and patient safety MOC credit] 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

Release date: July 9, 2018

Expiration date: July 9, 2021

Estimated time to complete activity: 2 hours

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 resolves 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.

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 3 sections: a pre-test, a study program, and a CME post-test. All 3 sections must be completed to receive CME credit.

Additional Information

Course summary
Available credit: 
  • 2.00 AMA PRA Category 1 Credit™
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] 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 Non-physician
Course opens: 
07/09/2018
Course expires: 
07/09/2021
Your cost:
$0.00
Parent activity set: 
Rating: 
0
FACULTY & FACULTY DISCLOSURES

Robert Centor, MD, MACP
Professor-Emeritus
General Internal Medicine
University of Alabama at Birmingham
Birmingham, Alabama
Dr Centor reports having no relevant financial or advisory relationships with corporate organizations related to this activity. 

Leonard Feldman, MD, FACP, SFHM
Associate Professor of Medicine
Johns Hopkins University School of Medicine
Urban Health Residency and Track Director
Associate Program Director, Osler Medical Residency
Director, Comprehensive General Medicine Consult Service
Founding Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Baltimore, Maryland
Dr Feldman reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Kurt Pfeifer, MD, FACP, SFHM
Professor of Medicine
General Internal Medicine
Medical Director, Froedtert and Medical College of Wisconsin Eye Institute Perioperative Services
Medical College of Wisconsin
Associate Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Milwaukee, Wisconsin 
Dr. Pfeifer reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

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 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Available Credit

  • 2.00 AMA PRA Category 1 Credit™
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] 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 Non-physician

Accreditation Period

Course opens: 
07/09/2018
Course expires: 
07/09/2021

Price

Your cost:
$0.00
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