J Korean Med Sci.  2000 Dec;15(6):701-703. 10.3346/jkms.2000.15.6.701.

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

Affiliations
  • 1Department of Internal Medicine, Hanyang University Kuri Hospital, Korea.

Abstract

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.

Keyword

Hypernatremia

MeSH Terms

Journal Article
Female
Human
Hypernatremia/therapy*
Hypernatremia/physiopathology
Hypernatremia/blood
Middle Age
Sodium/blood*
Treatment Outcome

Cited by  1 articles

Paranoid Adipsia-induced Severe Hypernatremia and Uremia treated with Hemodialysis
Jae-Hyun Choi, Hee Seung Lee, Sun Moon Kim, Hye-young Kim, Soon Kil Kwon
Electrolyte Blood Press. 2013;11(1):29-32.    doi: 10.5049/EBP.2013.11.1.29.

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