Therapeutic Approach to the Management of Severe Asymptomatic Hyponatremia

Hyponatremia is an electrolyte imbalance encountered commonly in the hospital and ambulatory settings. It can be seen in isolation or present as a complication of other medical conditions. It is therefore a challenge to determine the appropriate therapeutic intervention. An understanding of the etio...

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Bibliographic Details
Published in:Case reports in nephrology 2017-01, Vol.2017 (2017), p.1-4
Main Authors: Ijaiya, Thaofiq, Lakshmi, Kameswari, Manohar, Sandhya
Format: Article
Language:English
Subjects:
Alcohol
Blood
Case Report
Case reports
Coma
Edema
Hospitals
Laboratories
Medicine
Nephrology
Sodium
Urine
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Summary:Hyponatremia is an electrolyte imbalance encountered commonly in the hospital and ambulatory settings. It can be seen in isolation or present as a complication of other medical conditions. It is therefore a challenge to determine the appropriate therapeutic intervention. An understanding of the etiology is key in instituting the right treatment. Clinicians must not be too hasty to correct a random laboratory value without first understanding the physiologic principle. We present such a case of a patient who presented with sodium of 98 mmol/L, the lowest recorded in the current literature, and yet was asymptomatic. Following appropriate management driven by an understanding of the underlying pathophysiologic mechanism, the patient was managed to full recovery without any clinically significant neurological sequelae.
ISSN:2090-6641
2090-665X
DOI:10.1155/2017/1371804