How low can you go? Severe hyponatremia with a sodium of 94 mg/dL corrected with proactive strategy
| Autor: | Sophia Kwon, Jeffrey Fein, Manan Shah, Nikesh Patel, Viralkumar Amrutiya, Abraham Lo |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
lcsh:Internal medicine
desmopressin Nausea Sodium medicine.medical_treatment chemistry.chemical_element Case Report 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal Medicine Medicine 030212 general & internal medicine Desmopressin lcsh:RC31-1245 business.industry nutritional and metabolic diseases medicine.disease Hypertonic saline chemistry Anesthesia Concomitant Vomiting medicine.symptom Diuretic business Hyponatremia osmotic demyelination syndrome hypertonic saline medicine.drug |
| Zdroj: | Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 5, Pp 460-461 (2020) |
| ISSN: | 2000-9666 |
| Popis: | We present a case of severe symptomatic hyponatremia (94 mEq/L) in a male patient who presented with nausea, vomiting, and multiple falls. The patient was found with symptomatic hypo-osmolar hypovolemic hyponatremia secondary to volume loss from vomiting, diuretic use, and consumption of solute-free water. To manage such a severely hyponatremic patient, concomitant 3% hypertonic saline and DDAVP were initiated with successful slow and sustained correction of sodium without complications of osmotic demyelination syndrome. |
| Databáze: | OpenAIRE |
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