Hyponatremia:Management Errors
Electrolytes & Blood Pressure
;
: 72-76, 2006.
Article
in English
| WPRIM
| ID: wpr-169442
ABSTRACT
Rapid correction of hyponatremia is frequently associated with increased morbidity and mortality. Therefore, it is important to estimate the proper volume and type of infusate required to increase the serum sodium concentration predictably. The major common management errors during the treatment of hyponatremia are inadequate investigation, treatment with fluid restriction for diuretic-induced hyponatremia and treatment with fluid restriction plus intravenous isotonic saline simultaneously. We present two cases of management errors. One is about the problem of rapid correction of hyponatremia in a patient with sepsis and acute renal failure during continuous renal replacement therapy in the intensive care unit. The other is the case of hypothyroidism in which hyponatremia was aggravated by intravenous infusion of dextrose water and isotonic saline infusion was erroneously used to increase serum sodium concentration.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sodium
/
Infusions, Intravenous
/
Water
/
Mortality
/
Renal Replacement Therapy
/
Sepsis
/
Acute Kidney Injury
/
Glucose
/
Hyponatremia
/
Hypothyroidism
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
Electrolytes & Blood Pressure
Year:
2006
Type:
Article
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