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Hyponatraemia-treatment standard 2024.
Nephrol Dial Transplant
September 2024
Department of Nephrology, University of Skopje, Sts. Cyril and Methodius, Skopje, N. Macedonia.
Hyponatraemia is the most common electrolyte disorder in hospital patients associated with increased morbidity, mortality, hospital stay and financial burden. The speed of a correction with 3% sodium chloride as a 100- to 150-ml intravenous bolus or continuous infusion depends on the severity and persistence of the symptoms and needs frequent biochemical monitoring. The rapid intermittent administration of hypertonic saline is preferred for treatment of symptomatic hyponatraemia.
View Article and Find Full Text PDFTreatment of severe hyponatremia with continuous renal replacement therapy: A case and review of corrective strategies.
Hemodial Int
July 2024
Department of Medicine, Division of Nephrology, Albany Medical Center, Albany, New York, USA.
Treatment of severely hyponatremic patients with continuous renal replacement therapy (CRRT) presents a unique challenge given the lack of commercial options for hypotonic replacement solutions or dialysate. We report the case of a 55-year-old male who presented with profound, symptomatic hyponatremia in the setting of acute kidney injury (AKI). The patient was found to have a serum sodium concentration of 97 mEq/L because of free water retention that occurred during severe AKI from viral gastroenteritis and rhabdomyolysis.
View Article and Find Full Text PDFA Case Report of Hemolytic Hyponatremia.
Cureus
February 2024
Internal Medicine, Hospital Universitario del Valle "Evaristo García" - Universidad del Valle, Cali, COL.
Hereditary spherocytosis/elliptocytosis is a non-immune hemolytic anemia caused by an alteration in the erythrocyte membrane that predisposes the cell to its lysis. This report presents a case of a 42-year-old woman with a history of spontaneous abortion, associated with postpartum bleeding, chronic anemia, and premature menopause. After five years, she consulted due to alterations in the state of consciousness and severe symptomatic hyponatremia, with a diagnosis of hypopituitarism, explained by a late Sheehan syndrome.
View Article and Find Full Text PDFKey Clinical Message: We present the case of an adult female who had rheumatoid arthritis at first but later tested positive for Guillain-Barré syndrome (GBS). In symptomatic GBS patients (related to large joints), physicians (and therapists) should consider rheumatoid arthritis when risk factors are present.
Abstract: The co-existence of GBS and other autoimmune disorders is uncommon.
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