Electrolyte Blood Press.  2006 Nov;4(2):72-76. 10.5049/EBP.2006.4.2.72.

Hyponatremia:Management Errors

Affiliations
  • 1Department of Internal Medicine, Hallym University College of Medicine, Chunchon, Korea. sjwdr@hanmail.net

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.


MeSH Terms

Acute Kidney Injury
Glucose
Humans
Hyponatremia
Hypothyroidism
Infusions, Intravenous
Intensive Care Units
Mortality
Renal Replacement Therapy
Sepsis
Sodium
Water
Glucose
Sodium
Water
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