Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Common causes include medications and the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Hyponatremia can be classified according to the volume status of the patient as hypovolemic, hypervolemic, or euvolemic.
Design-assist can be implemented on nearly any construction project regardless of type or size. Its benefits include improvements in design efficiency, cost management, speed to market, and constructability. DA is best leveraged when early engagement of certain subcontractors is most beneficial for the project.
1 Construction managers, retained to manage the construction, often assume some of the design responsibility, along with the risk of construction cost-overruns and delays resulting from design errors. General contractors, subcontractors and suppliers are also increasingly assuming design responsibility.