A note on "very slow" correction of sodium in Hypernatremia
Classic teaching on treatment of Hypernatremia is to avoid rapid correction of sodium. Everybody gets it but unfortunately seldom it is mentioned that "very slow" correction of sodium in hypernatremia can be equally fatal. Ideal number for correction of sodium in hypernatremia is no more than 10 meq/L over 24 hours - but - equally it is important to avoid correction less than 6 meq/L over 24 hours.
Alshayeb HM, Showkat A, Babar F, et al. Severe hypernatremia correction rate and mortality in hospitalized patients. Am J Med Sci 2011; 341:356.