Treating double-digit hyponatremia: walking a tight rope

• 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.
• Subjects: article
• Online Access: Connect to this object online.

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...