Hypernatremia: Correction Rate and Hemodialysis
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 stab...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/736073 |
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| author | Saima Nur Yasir Khan Saadia Nur Hassan Boroujerdi |
| author_facet | Saima Nur Yasir Khan Saadia Nur Hassan Boroujerdi |
| author_sort | Saima Nur |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-702171dd24cc4b72a31f32535029c965 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-702171dd24cc4b72a31f32535029c9652025-02-03T01:27:14ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/736073736073Hypernatremia: Correction Rate and HemodialysisSaima Nur0Yasir Khan1Saadia Nur2Hassan Boroujerdi3Wellesley College, 106 Central Street, Wellesley, MA 02481, USADepartment of Internal Medicine, University of Arizona, 1501 N. Campbell Avenue, Tucson, AZ 85724, USAUniversity of California Los Angeles, Los Angeles, CA 90095, USADepartment of Nephrology, Yale-New Haven Hospital, P.O. Box 208029, New Haven, CT 06520, USASevere 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.http://dx.doi.org/10.1155/2014/736073 |
| spellingShingle | Saima Nur Yasir Khan Saadia Nur Hassan Boroujerdi Hypernatremia: Correction Rate and Hemodialysis Case Reports in Medicine |
| title | Hypernatremia: Correction Rate and Hemodialysis |
| title_full | Hypernatremia: Correction Rate and Hemodialysis |
| title_fullStr | Hypernatremia: Correction Rate and Hemodialysis |
| title_full_unstemmed | Hypernatremia: Correction Rate and Hemodialysis |
| title_short | Hypernatremia: Correction Rate and Hemodialysis |
| title_sort | hypernatremia correction rate and hemodialysis |
| url | http://dx.doi.org/10.1155/2014/736073 |
| work_keys_str_mv | AT saimanur hypernatremiacorrectionrateandhemodialysis AT yasirkhan hypernatremiacorrectionrateandhemodialysis AT saadianur hypernatremiacorrectionrateandhemodialysis AT hassanboroujerdi hypernatremiacorrectionrateandhemodialysis |