Successful Sodium Level Correction with a 3% Saline Bolus before Intermittent Hemodialysis for a Patient with Severe Hyponatremia Accompanied by Acute Kidney Injury
| Autor: | Koichi Seta, Daisuke Hirai, Miyuki Kodama, Seijiro Tsuji, Mitsuteru Koizumi, Jaegi Shim, Kensei Yahata |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Lightheadedness medicine.medical_treatment 030204 cardiovascular system & hematology urologic and male genital diseases 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Bolus (medicine) Renal Dialysis Internal Medicine medicine Humans Renal replacement therapy Saline Creatinine business.industry Sodium Acute kidney injury nutritional and metabolic diseases General Medicine Acute Kidney Injury Middle Aged medicine.disease chemistry Anesthesia 030211 gastroenterology & hepatology Saline Solution Hemodialysis medicine.symptom Hyponatremia business |
| Zdroj: | Internal Medicine. 60:2645-2649 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.6667-20 |
| Popis: | A 60-year-old man presented to the emergency department with lightheadedness. He had severe hyponatremia (109 mEq/L) complicated by acute kidney injury (AKI) (serum creatinine: 9.08 mg/dL). Because he was somnolescent, his hyponatremia was initially treated by administering a 130-mL bolus of 3% saline 2 to 5 times per day for 5 days. He subsequently underwent intermittent hemodialysis without any neurological problems. Previous reports have described patients with hyponatremia and AKI being treated with continuous renal replacement therapy. However, our strategy might be a feasible, low-cost treatment strategy of treating patients with hyponatremia and AKI who do not require immediate hemodialysis. |
| Databáze: | OpenAIRE |
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