How low can you go? Severe hyponatremia with a sodium of 94 mg/dL corrected with proactive strategy

Autor:	Manan Shah, Viralkumar Amrutiya, Nikesh Patel, Sophia Kwon, Jeffrey Fein, Abraham Lo
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	hyponatremia desmopressin hypertonic saline osmotic demyelination syndrome Internal medicine RC31-1245
Zdroj:	Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 5, Pp 460-461 (2020)
Druh dokumentu:	article
ISSN:	2000-9666 20009666
DOI:	10.1080/20009666.2020.1809928
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:	Directory of Open Access Journals
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