Successful treatment in the patient with serum sodium level greater than 200mEq/L.
10.3346/jkms.2000.15.6.701
- Author:
Young Joon PARK
1
;
Young Chan KIM
;
Mi Ok KIM
;
Jun Ho RUY
;
Sang Woong HAN
;
Ho Jung KIM
Author Information
1. Department of Internal Medicine, Hanyang University Kuri Hospital, Korea.
- Publication Type:Case Reports
- Keywords:
Hypernatremia
- MeSH:
Journal Article;
Female;
Human;
Hypernatremia/therapy*;
Hypernatremia/physiopathology;
Hypernatremia/blood;
Middle Age;
Sodium/blood*;
Treatment Outcome
- From:Journal of Korean Medical Science
2000;15(6):701-703
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hypernatremia developing in nonhospitalized adults is predominantly a disease of the elderly and mentally handicapped patients, possibly revealing inadequate nursing care of these patients. It has long been claimed that the duration of hypernatremia and its rate of correction are correlated with improvement in patients' neurologic status. Since there are only a handful of cases with serum sodium levels greater than 200 mEq/L until recently, it is not clear at what rate plasma sodium concentration can be safely normalized in severe hypernatremic patients. We report a case of severe hypernatremia with survival. This patient underwent rapid correction of serum sodium concentration during the management of this metabolic derangement using isotonic solution.
