What is your approach to managing asymptomatic severe hyponatremia secondary to impaired free water clearance in a patient with oliguric acute kidney injury who is not on renal replacement therapy?  

There are limited options in the treatment of severe hyponatremia secondary to impaired free water clearance in a patient with oliguric acute kidney injury who is not on renal replacement therapy. In addition to strict free water restriction, a loop diuretic can be tried to convert from oliguric AK...