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Hyponatremia Algorithm Wikem . Hyponatremia generally is defined as a plasma sodium level of less than 135 meq per l (135 mmol per l).1, 2 this electrolyte imbalance is encountered commonly in hospital and ambulatory settings.3. It is the dedication of healthcare workers that will lead us through this crisis. Etiological diagnosis algorithm of hyponatremia. Adapted from www.researchgate.net It also briefly covers the initial management of hyponatraemia in secondary care. Wikem1) select the template chart and click create new from enter a relevant title for your document Hyponatraemia assessment and treatment algorithm monitoring fluid balance, strict input and output chart.