Effective serum osmolality <275 mOsm/kg |
Urine osmolality >100 mOsm/kg with decreased effective osmolality |
Evidence of clinical euvolaemia |
Increased urine sodium concentration >30 mmol/l with normal salt and water intake |
Normal adrenal, thyroid, pituitary or renal function |
No recent use of diuretic drugs |
Auxiliary Criteria |
Serum uric acid <0.24 mmol/l (<4 mg/dl) |
Serum urea <3.6 mmol/l (<21.6 mg/dl) |
Failure to correct hyponatraemia after 0.9% saline administration |
Fractional sodium excretion >0.5% |
Fractional urea excretion >55% |
Fractional uric acid excretion >12% |
Correction of hyponatraemia through fluid restriction |