Pseudohyponatremia is caused by a laboratory error in the measurement of serum sodium due to the presence in the serum of elevated serum lipid levels or abnormal paraproteins such as myeloma proteins. The most likely diagnosis is pseudohyponatremia. Plasma osmolality can be measured using the following equation: Plasma Osmolality (mOsm/kg H 2 O) = 2 × Serum Sodium (mEq/L) + Plasma Glucose (mg/dL)/18 + Blood Urea Nitrogen (mg/dL)/2.8
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ELBOMBARDO - (no access) - MKSAP_17.pdf, p3583
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