Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful

Beer potomania is one of the less common causes of hyponatremia that we encounter. Patients usually have a recent history of binge drinking along with poor diet. The low solute content in alcoholic beverages limits daily urine output, and ingestion of extra fluid will cause dilutional hyponatremia a...

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Main Authors: Zhuo Lin Yu, Lisa Fisher
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2022/8778304
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author Zhuo Lin Yu
Lisa Fisher
author_facet Zhuo Lin Yu
Lisa Fisher
author_sort Zhuo Lin Yu
collection DOAJ
description Beer potomania is one of the less common causes of hyponatremia that we encounter. Patients usually have a recent history of binge drinking along with poor diet. The low solute content in alcoholic beverages limits daily urine output, and ingestion of extra fluid will cause dilutional hyponatremia as a result. Blindly providing intravenous fluid without an underlying cause of the hyponatremia can be detrimental, such as in patients with beer potomania. In our case, a patient presented to the emergency department due to poor oral intake from jaw pain and was found to be hyponatremic from alcohol intake. He initially received 2 liters of fluid, which caused overcorrection of his sodium, requiring more free water to lower his sodium as a result.
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spelling doaj-art-efa3df946493498289448a573c5472392025-02-03T01:22:45ZengWileyCase Reports in Nephrology2090-665X2022-01-01202210.1155/2022/8778304Beer Potomania: Why Initial Fluid Resuscitation May Be HarmfulZhuo Lin Yu0Lisa Fisher1Stony Brook University HospitalNorthport VA Medical CenterBeer potomania is one of the less common causes of hyponatremia that we encounter. Patients usually have a recent history of binge drinking along with poor diet. The low solute content in alcoholic beverages limits daily urine output, and ingestion of extra fluid will cause dilutional hyponatremia as a result. Blindly providing intravenous fluid without an underlying cause of the hyponatremia can be detrimental, such as in patients with beer potomania. In our case, a patient presented to the emergency department due to poor oral intake from jaw pain and was found to be hyponatremic from alcohol intake. He initially received 2 liters of fluid, which caused overcorrection of his sodium, requiring more free water to lower his sodium as a result.http://dx.doi.org/10.1155/2022/8778304
spellingShingle Zhuo Lin Yu
Lisa Fisher
Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful
Case Reports in Nephrology
title Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful
title_full Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful
title_fullStr Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful
title_full_unstemmed Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful
title_short Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful
title_sort beer potomania why initial fluid resuscitation may be harmful
url http://dx.doi.org/10.1155/2022/8778304
work_keys_str_mv AT zhuolinyu beerpotomaniawhyinitialfluidresuscitationmaybeharmful
AT lisafisher beerpotomaniawhyinitialfluidresuscitationmaybeharmful