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001-es BibID:	BIBFORM061590
Első szerző:	Gharaibeh, Kamel A. (orvos)
Cím:	Desmopression is an effective adjunct treatment for reversing excessive hyponatremia overcorrection / Kamel A. Gharaibeh, Matthew J. Craig, Christian A. Koch, Anna A. Lerant, Tibor Fülöp, Éva Csongrádi
Dátum:	2013
ISSN:	2307-8960
Megjegyzések:	We report a case of a 50-year-old malnourished AfricanAmerican male with hiccups, nausea and vomiting whowas brought to the Emergency Department after repeatedseizures at home. Laboratory evaluations revealedsodium (Na+) 107 mmol/L, unmeasurably low potassium,chloride < 60 mmol/L, bicarbonate of 38 mmol/Land serum osmolality 217 mOsm/kg. Seizures werecontrolled with 3% saline ?. Once nausea was controlledwith iv antiemetics, he developed large volumefree water diuresis with 6 L of dilute urine in 8 h (urineosmolality 40-60 mOsm/kg) and serum sodium rapidlyrose to 126 mmol/L in 12 h. Both intravenous desmopressinand 5% dextrose in water was given to achievea concentrated urine and to temporarily reverse theCASE REPORTWorld J Clin Cases 2013 August 16; 1(5): 155-158ISSN 2307-8960 (online)? 2013 Baishideng. All rights reserved.Online Submissions: http://www.wjgnet.com/esps/wjcc@wjgnet.comdoi:10.12998/wjcc.v1.i5.155WJCC\|www.wjgnet.com 55 August 16, 2013\|Volume 1\|Issue 5\|World Journal ofW J C C Clinical Casesacute rise of sodium, respectively. Serum Na+ was graduallyre-corrected in 2-3 mmol/L daily increments from118 mmol/L until 130 mmol/L. Hypokalemia was slowlycorrected with resultant auto-correction of metabolicalkalosis. The patient discharged home with no neurologicsequaele on the 11th hospital day. In euvolemichyponatremic patients controlling nausea may contributeto unpredictable free water diuresis. The addition ofan antidiuretic hormone analog, such as desmopressincan limit urine output and prevent an unpredictable riseof the serum sodium.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Hyponatremia Hypokalemia Overcorrection Polyuria Antidiuretic hormone Vasopressin Desmopressin Osmotic demyelination syndrome Central pontine myelinolysis
Megjelenés:	World Journal of Clinical Cases. - 1 : 5 (2013), p. 155-158. -
További szerzők:	Craig, Matthew J. (orvos) Koch, Christian A. Lerant, Anna (orvos) Fülöp Tibor (1957-) (kardiológus) Csongrádi Éva (1969-) (szakorvos)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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