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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100 1 0 |a Manjunath Kulkarni  |e author 
700 1 0 |a Prashanth Kadri  |e author 
700 1 0 |a Raghavendra Bakki Sannegowda  |e author 
700 1 0 |a Maria Bethsaida  |e author 
700 1 0 |a Nikhil D'Souza  |e author 
245 0 0 |a Treating double-digit hyponatremia: walking a tight rope 
260 |b SpringerOpen,   |c 2015-01-01T00:00:00Z. 
500 |a 1110-7782 
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520 |a 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. 
546 |a EN 
690 |a Hyponatremia, osmotic demyelination syndrome, sodium 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n The Egyptian Journal of Internal Medicine, Vol 27, Iss 3, Pp 121-122 (2015) 
787 0 |n http://www.esim.eg.net/article.asp?issn=1110-7782;year=2015;volume=27;issue=3;spage=121;epage=122;aulast=Kulkarni 
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787 0 |n https://doaj.org/toc/2090-9098 
856 4 1 |u https://doaj.org/article/df1e222428c040df9ab2fb6e98166b8f  |z Connect to this object online.