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Hyponatremia is defined as a serum sodium level of less than 135 mEq/L and is considered severe when the serum level is below 125 mEq/L. Many medical illnesses, such as congestive heart failure , liver failure , renal failure , or pneumonia, may be associated with hyponatremia . .. A person with severe hyponatremia may be given a very concentrated saline solution intravenously. But sodium levels need to be corrected slowly and in a controlled fashion, to prevent swollen. Hyponatremia is defined as a serum sodium concentration of less than 135 mmol/L .A serum sodium level of ≤120 mmol/L is generally regarded as severe hyponatremia .Temporal evolution of the stated condition within 48 hours constitutes acute hyponatremia .Acute hyponatremia is a medical emergency and manifests with confusion, seizures, brain edema, brain herniation, coma, and death.