Electrolyte Disturbances

Electrolyte disorders may contribute to the other complications of alcohol withdrawal and should therefore be sought and treated. Hypokalaemia and hypomagnesaemia should be corrected using oral supplements. Hyponatraemia is usually self-limiting and should not be aggressively corrected because of the risk of central pontine myelinolysis.

Chapter Recommendation Grade of recommendation
8.54 Electrolyte replacement may be a necessary adjunctive treatment for patients with electrolyte abnormalities (such as hypomagnesaemia, hypokalaemia). Hyponatraemia should not be aggressively corrected due to the risk of central pontine myelinolysis. GPP