Which of the following leads to hyponatremia and low osmolality:
CHF is characterized by low perfusion of kidney stimulating R.A.A.S and resultant absorption of salt and dispropoionate amount of water would lead to hyponatremia with decreased osmolality Isotonic hyponatremia is seen with hyperlipidemia and hyperproteinemia like in paraproteinemia IV immunoglobulin therapy also interferes with measurement of serum sodium leading to pseudo-hyponatremia
Hyperlipidemia
Hyperproteinemia
IVIG therapy
CHF
Fluids and Electrolyte Imbalance