Management Challenges in a Child with Chronic Hyponatremia: Use of V2 Receptor Antagonist
Joint Authors
Krishnan, Sowmya
Deshpande, Swapna
Mallappa, Ashwini
Divya, Gunda
Lane, Pascale
Vishwanath, Anu
McNall-Knapp, Rene Y.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Chronic hyponatremia is very rare in children and is often seen in the setting of congestive heart failure or liver failure in adults.
Here, we report an 8-year-old child with hypothalamic glioma who presented with severe hyponatremia.
Initial management consisted of fluid restriction.
This was very difficult for the child to follow and the child developed bizarre drinking habits requiring intervention from child psychiatry.
So therapy was initiated with low dose V2 receptor antagonist under close inpatient monitoring.
While initial response was reassuring, her sodium levels tended to drift down with longer duration of treatment requiring us to increase the dose frequently.
Her response to therapy and her stable clinical situation off therapy suggest that she may have reset osmostat.
American Psychological Association (APA)
Krishnan, Sowmya& Deshpande, Swapna& Mallappa, Ashwini& Divya, Gunda& Lane, Pascale& Vishwanath, Anu…[et al.]. 2017. Management Challenges in a Child with Chronic Hyponatremia: Use of V2 Receptor Antagonist. Case Reports in Pediatrics،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1149315
Modern Language Association (MLA)
Krishnan, Sowmya…[et al.]. Management Challenges in a Child with Chronic Hyponatremia: Use of V2 Receptor Antagonist. Case Reports in Pediatrics No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1149315
American Medical Association (AMA)
Krishnan, Sowmya& Deshpande, Swapna& Mallappa, Ashwini& Divya, Gunda& Lane, Pascale& Vishwanath, Anu…[et al.]. Management Challenges in a Child with Chronic Hyponatremia: Use of V2 Receptor Antagonist. Case Reports in Pediatrics. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1149315
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149315