Treating double-digit hyponatremia: walking a tight rope

We report the case of a diabetic patient who presented with severe hyponatremia (serum sodium concentration of 88 mEq/l) caused by hypovolemia and thiazide diuretic use. His serum sodium levels were gradually corrected using a combination of isotonic and hypotonic fluids based on urine output and ra...

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Main Authors: Manjunath Kulkarni (Author), Prashanth Kadri (Author), Raghavendra Bakki Sannegowda (Author), Maria Bethsaida (Author), Nikhil D'Souza (Author)
Format: Book
Published: SpringerOpen, 2015-01-01T00:00:00Z.
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Summary:We report the case of a diabetic patient who presented with severe hyponatremia (serum sodium concentration of 88 mEq/l) caused by hypovolemia and thiazide diuretic use. His serum sodium levels were gradually corrected using a combination of isotonic and hypotonic fluids based on urine output and rate of rise in sodium levels. The patient had complete recovery without any evidence of osmotic demyelination.
Item Description:1110-7782
2090-9098
10.4103/1110-7782.164644