Successful treatment in the patient with serum sodium level greater than 200 mEq/L

Hypernatremia developing in nonhospitalized adults is predominantly a disease of the elderly and mentally handicapped patients, possibly revealing inadequate nursing care of these patients. It has long been claimed that the duration of hypernatremia and its rate of correction are correlated with imp...

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Bibliographic Details
Published in:Journal of Korean medical science 2000-12, Vol.15 (6), p.701-703
Main Authors: Park, Y J, Kim, Y C, Kim, M O, Ruy, J H, Han, S W, Kim, H J
Format: Article
Language:English
Subjects:
Female
Humans
Hypernatremia - blood
Hypernatremia - physiopathology
Hypernatremia - therapy
Middle Aged
Sodium - blood
Treatment Outcome
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Summary:Hypernatremia developing in nonhospitalized adults is predominantly a disease of the elderly and mentally handicapped patients, possibly revealing inadequate nursing care of these patients. It has long been claimed that the duration of hypernatremia and its rate of correction are correlated with improvement in patients' neurologic status. Since there are only a handful of cases with serum sodium levels greater than 200 mEq/L until recently, it is not clear at what rate plasma sodium concentration can be safely normalized in severe hypernatremic patients. We report a case of severe hypernatremia with survival. This patient underwent rapid correction of serum sodium concentration during the management of this metabolic derangement using isotonic solution.
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2000.15.6.701