How low can you go? Severe hyponatremia with a sodium of 94 mg/dL corrected with proactive strategy
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...
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| Main Authors: | , , , , , |
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| Format: | Book |
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Greater Baltimore Medical Center,
2020-09-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | 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. |
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| Item Description: | 2000-9666 10.1080/20009666.2020.1809928 |