1. sahell

    Olde NBME clarification - hyponatremia

    An alcoholic with serum Na 99mg/dl is treated with 0.9% saline and develops quadriparxsis, dysarthria and slurred speech. Most answers say it's central pontine myelinolysis but that would be because of rapid correction of hyponatremia. That would require hypertonic saline. 0.9% is isotonic...