North South North West Statewide
All referrals should comply to referral standards and also include:
- Symptoms, if any, or whether found incidentally
- Acute hyponatraemia may cause confusion which should be noted
- Co-morbidities such as oedematous conditions (cardiac failure, cirrhosis, nephrotic syndrome)
- Medications especially diuretics and reason for their use
- Reasons for hypovolaemia including adrenal insufficiency
- Assess mental state
- U&E Cr, eGFr
- Serum and urine osmolality
- Urine sodium
- Chest X-ray should be considered
- Abdominal X-ray or CT if abdominal malignancy suspected
To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.
Think of possible causes such as inappropriate ADH secretion caused by medications such as SSRis, hypothyroidism, intracranial pathology, chest pathology or abdominal malignancy.
For more information please see the Tasmanian Health Pathways website.
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405 Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100 Fax: (03) 6173 0489
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
We will endeavour to see these patients within 12 weeks
Next available appointment