In an adult with end‑stage renal disease presenting with hypotonic hyponatraemia, serum osmolality 264 mOsm/kg, dilute urine osmolality 159 mOsm/kg and urine sodium 27 mmol/L, what is the most likely cause and how should it be managed?

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Hyponatremia in ESRD: Diagnosis and Management

Primary Diagnosis

This patient has hypotonic hyponatremia with inappropriately dilute urine (159 mOsm/kg) in the setting of ESRD, most consistent with excessive free water intake or residual impaired water excretion despite renal failure. 1, 2

The key diagnostic features are:

  • Serum osmolality 264 mOsm/kg confirms true hypotonic hyponatremia (normal 275-295 mOsm/kg), excluding pseudohyponatremia 2, 3
  • Urine osmolality 159 mOsm/kg is inappropriately low – in true hyponatremia, urine should be maximally dilute (<100 mOsm/kg) if water excretion is intact, or concentrated (>300 mOsm/kg) if ADH is elevated 1, 3
  • Urine sodium 27 mmol/L suggests some preserved renal sodium handling despite ESRD, though interpretation is limited in dialysis patients 2, 3

This pattern indicates impaired free water excretion with ongoing water intake exceeding excretory capacity, a common scenario in ESRD patients with residual urine output 4, 5.

Management Strategy for ESRD Patients

Immediate Approach

Fluid restriction to 1000-1500 mL/day is the cornerstone of management for chronic asymptomatic hyponatremia in ESRD. 2, 3 This addresses the fundamental problem of water excess relative to excretory capacity.

If the patient requires urgent hemodialysis for other indications (uremia, hyperkalemia, volume overload), use a modified dialysis prescription to prevent overly rapid sodium correction: 4, 5

  • Set dialysate sodium to 128-130 mEq/L (the lowest permissible level on most conventional HD machines) 4, 5
  • Limit initial blood flow to 50 mL/min to control the rate of sodium rise 4, 5
  • Target sodium correction of 1-2 mEq/L per hour during dialysis, not exceeding 8 mmol/L in 24 hours 4, 5, 6
  • Increase blood flow to 100 mL/min in subsequent sessions once initial correction is achieved 5

Correction Rate Guidelines

The absolute maximum sodium correction is 8 mmol/L in any 24-hour period to prevent osmotic demyelination syndrome. 1, 2, 6 For ESRD patients with chronic hyponatremia:

  • Standard correction rate: 4-8 mmol/L per day 1, 2
  • High-risk patients (malnutrition, liver disease, alcoholism): 4-6 mmol/L per day maximum 1, 2
  • Monitor serum sodium every 4-6 hours during active correction 1, 6

Special Considerations in ESRD

ESRD patients are at particularly high risk for rapid overcorrection during dialysis because conventional hemodialysis with standard dialysate (140 mEq/L sodium) can raise serum sodium too quickly. 4, 5 The modified prescription above prevents this complication.

Continuous renal replacement therapy (CRRT) with low-sodium replacement fluid provides the most controlled correction but is often unavailable in resource-limited settings 5, 7. When CRRT is not available, the modified conventional HD approach is effective 4, 5.

Monitoring Protocol

During dialysis sessions with modified prescription: 4, 5

  • Check serum sodium every 2 hours initially 6
  • Adjust blood flow rate based on sodium rise 5
  • Watch for neurological symptoms (confusion, seizures, altered mental status) 6

Between dialysis sessions: 1, 2

  • Enforce strict fluid restriction 2, 3
  • Monitor daily weights 1
  • Check sodium every 24-48 hours until stable 1

Common Pitfalls to Avoid

Never use standard dialysate sodium (140 mEq/L) with normal blood flow rates in severely hyponatremic ESRD patients – this will cause dangerously rapid correction and risk osmotic demyelination syndrome 4, 5, 6

Do not administer hypertonic saline unless the patient has severe neurological symptoms (seizures, coma) – chronic asymptomatic hyponatremia should be corrected slowly 3, 6, 7

Avoid correcting faster than 8 mmol/L in 24 hours regardless of dialysis modality – osmotic demyelination can occur 2-7 days after rapid correction with devastating neurological consequences 1, 2, 6

Do not rely on fluid restriction alone if urgent dialysis is needed – the modified dialysis prescription is essential to control correction rate 4, 5

References

Guideline

Management of Hypernatremia

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Guideline

Management of Sodium Imbalance

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Research

Diagnosis and management of hyponatraemia in hospitalised patients.

International journal of clinical practice, 2009

Research

Successful management of severe hyponatremia in CKD-VD: In a cost limited setting.

Hemodialysis international. International Symposium on Home Hemodialysis, 2019

Research

Hyponatremia: A Review.

Journal of intensive care medicine, 2016

Research

Diagnosis and Treatment of Hyponatremia: Compilation of the Guidelines.

Journal of the American Society of Nephrology : JASN, 2017

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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