One of the challenging cases in nephrology is managing a patient with severe hyponatremia, where each decision seems precarious. Overcorrecting sodium levels increases the risk of osmotic demyelination, while undercorrection leaves patients susceptible to complications. Nephrologists thread the needle carefully, focusing on avoiding overcorrection, typically aiming for a 24-hour correction rate below 6 to 8 mEq/L, or even lower at 4-6 mEq/L in patients with alcoholism, liver

Hyponatremia, a condition affecting 1 in 3 hospitalized adult patients, is a prevalent and significant electrolyte abnormality (1). It is...