Hypernatremia: Correction Rate and Hemodialysis
Joint Authors
Nur, Saima
Khan, Yasir
Nur, Saadia
Boroujerdi, Hassan
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-06
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Severe hypernatremia is defined as serum sodium levels above 152 mEq/L, with a mortality rate ≥60%.
85-year-old gentleman was brought to the emergency room with altered level of consciousness after refusing to eat for a week at a skilled nursing facility.
On admission patient was nonverbal with stable vital signs and was responsive only to painful stimuli.
Laboratory evaluation was significant for serum sodium of 188 mmol/L and water deficit of 12.0 L.
Patient was admitted to medicine intensive care unit and after inadequate response to suboptimal fluid repletion, hemodialysis was used to correct hypernatremia.
Within the first fourteen hours, sodium concentration only changed 1 mEq/L with a fluid repletion; however, the concentration dropped greater than 20 mEq/L within two hours during hemodialysis.
Despite such a drastic drop in sodium concentration, patient did not develop any neurological sequela and was at baseline mental status at the time of discharge.
American Psychological Association (APA)
Nur, Saima& Khan, Yasir& Nur, Saadia& Boroujerdi, Hassan. 2014. Hypernatremia: Correction Rate and Hemodialysis. Case Reports in Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017252
Modern Language Association (MLA)
Nur, Saima…[et al.]. Hypernatremia: Correction Rate and Hemodialysis. Case Reports in Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017252
American Medical Association (AMA)
Nur, Saima& Khan, Yasir& Nur, Saadia& Boroujerdi, Hassan. Hypernatremia: Correction Rate and Hemodialysis. Case Reports in Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017252
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017252