Arif DURAN, Tarik OCAK, Ümit TEKELİOĞLU, Hikmet TEKCE, Akcan AKKAYA, Abdullah DEMİRHAN, Gülali AKTAŞ

Consciousness disturbance associated with severe hyponatremia: A case report

Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 1980
Yayıncı: Ondokuz mayıs Üniversitesi Tıp Fakültesi

Hyponatremia; a serious electrolyte disorder, frequently develops in the elderly and hospitalized patients with heart failure. Hyponatremia in patients with heart failure is usually in hypervolemic form characterized by increased total body sodium and water. However, rarely, hypovolemic hyponatremia associated with actual sodium loss may occur in the clinical course. We present an extremely hypovolemic hyponatremia case in a patient with severe heart failure. Serum sodium value of the patient was 101mEq/L; which is exceptionally compatible with life.

Keywords:

Consciousness disturbance, Diuretic treatment, Hyponatremia, Hypovolemia,

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Akman, S., Güven, A.G., 2001. Hiponatremi: Klinik değerlendirme ve tedavi. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 10, 68-72.
Bhardwaj, A., 2006. Neurological impact of vasopressin dysregulation and hyponatremia. Ann. Neurol. 59, 229-236.
Goh, K.P., 2004. Management of hyponatremia. Am Fam Physician. 69, 2387-2394.
Hoorn, E.J., Lindemans, J., Zietse, R., 2006. Development of severe hyponatraemia in hospitalized patients: Treatment-related risk factors and inadequate management.. Nephrol. Dial. Transplant. 21, 70-76.
Kinoshita, H., Kobayashi, K., Yaguramaki, T., Yasuda, M., Fujiki, K., Tomiyama, J. Yakushiji, F., 2011. Losartan potassium/hydrochlorothiazide (Preminent®) and hyponatremia: Case series of 40 patients. Hum. Exp.Toxicol. 30, 1409-1414.
Vaidya, C., Ho, W., Freda, B.J., 2010. Management of hyponatremia: Providing treatment and avoiding harm. Cleve Clin. J. Med. 77, 7157
Woo, Y.C., Kang, H., Cha, S.M., Jung, Y.H., Kim, J.Y., Koo, G.H., Baek, C.W., 2011. Severe intraoperative hyponatremia associated with the