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Pseudohyponatraemia Hyponatraemia is sometimes reported in patients with severe hyperproteinaemia or hyperlipidaemia. Thirst is rarely an overriding factor in determining intake in Western societies. Arginine vasopressin AVP acts to influence water balance, and aldosterone affects sodium reabsorption in the nephron. An illustrated colour text A. Principles and Practice of Veterinary Technology 5th Edition.
