When do you consider pharmacologic therapies such as sodium tablets, urea, vaptans, etc., vs conservative management for persistent asymptomatic hyponatremia in hospitalized patients?

For patients with SIADH, I consider active therapy in one of the following scenarios:

1. Na remains <130, especially <125–128, despite 24–48 h of appropriate conservative management.
2. Fluid restriction is not feasible (thirst, tube feeds, need for hydration, patient cannot adhere).
3. The patient has recu...