You suspect that a 35-year-old female marathon runner is experiencing exercise-associated hyponatremia. How should she be positioned?

Positioning a patient experiencing exercise-associated hyponatremia is crucial in ensuring their safety and facilitating appropriate care. The Fowler's position, which involves sitting the patient up at a 45 to 60-degree angle, is beneficial for several reasons in this scenario.

Firstly, this position can help reduce the risk of airway compromise. When a person is experiencing acute issues caused by electrolyte imbalances, such as in cases of hyponatremia, there can be a risk of vomiting or respiratory distress. Elevating the upper body helps maintain an open airway and allows for easier breathing.

Secondly, Fowler's position promotes better circulation and can aid in relieving any potential pressure on the diaphragm from abdominal contents, allowing the patient to breathe more comfortably. This positioning can also improve venous return to the heart and enhance cardiac output, which is particularly important if there are signs of fluid overload associated with hyponatremia.

Consequently, placing the patient in Fowler's position supports optimal respiratory function and circulation, making it the most appropriate choice for a patient exhibiting symptoms consistent with exercise-associated hyponatremia.