3% NS

If the patient is symptomatic you can't wait for it to fix itself through diuresis and water restriction.

My point was that 125 is low, but usually not life threatening. In my experience, 3% NS is given only in critical cases...and from what I've seen, that usually means Na is somewhere in the 110s or lower. I wouldn't anticipate an order for 3% NS for an asymptomatic individual with Na of 125. In fact, I seem to recall that I gave 3% NS to my last severely hyponatremic patient only until his serum Na reached 125. From that point, the 3% NS was d/c'ed and Na increase was achieved through other interventions.

My point was that 125 is low, but usually not life threatening. In my experience, 3% NS is given only in critical cases...and from what I've seen, that usually means Na is somewhere in the 110s or lower. I wouldn't anticipate an order for 3% NS for an asymptomatic individual with Na of 125. In fact, I seem to recall that I gave 3% NS to my last severely hyponatremic patient only until his serum Na reached 125. From that point, the 3% NS was d/c'ed and Na increase was achieved through other interventions.

I agree with you... I'm just saying that I've seen 3% given for a sodium of 127 before because the person was actively seizing. It makes a big difference how fast they became hyponatremic, it seems, and whether or not they manifested neuro symptoms. If it's chronically 125 they've likely compensated adequately.