Confusion in Medicine / Internal Medicine — 60yo Man | Nephrology | SMLE Q#12333
SMLE Question #12333
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 60-year-old man with chronic alcohol use presents with confusion, nausea, and unsteady gait. He is found to have severe hyponatremia that is thought to have been present for several days and is started on hypertonic saline for symptomatic hyponatremia. The treating team is concerned about complications from overly rapid sodium correction. Which complication is the most serious consequence of rapid correction of hyponatremia?
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