title: Unusual case of hyponatraemia.
abstract: Hyponatraemia is the most common electrolyte abnormality, encountered in up to 30% of inpatients. Inappropriate management can have serious implications for patients; including demyelinating disease, coma and death. We have used a case report to identify the common problems, and provide useful strategies in management for which these can be avoided. The aim was to provide a framework which clinicians can adopt, in order to improve clinical practice and provide optimum outcome for the patient.
authors.affiliation: Department of Diabetes and Endocrinology, Tameside Hospital NHS Foundation Trust, Ashton-Under-Lyne, Lancashire, UK.
authors.forename: Ryan Karlus
authors.initials: RK
authors.lastname: Hannaway
authors.forename: Fiona
authors.initials: F
authors.lastname: Cowie
authors.forename: Edward
authors.initials: E
authors.lastname: Jude
mesh_terms: D000369:Aged, 80 and over; D065092:Antidiuretic Hormone Receptor Antagonists; D001552:Benzazepines / Q000627:therapeutic use*; D042241:Early Diagnosis; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use*; D007010:Hyponatremia / Q000097:blood / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D017410:Practice Guidelines as Topic; D011379:Prognosis; D012964:Sodium / Q000097:blood; D013575:Syncope / Q000097:blood / Q000188:drug therapy / Q000209:etiology*; D000077602:Tolvaptan; D014665:Vasodilator Agents / Q000627:therapeutic use*
chemical_list: D065092:Antidiuretic Hormone Receptor Antagonists; D001552:Benzazepines; D014665:Vasodilator Agents; D000077602:Tolvaptan; D012964:Sodium; D006854:Hydrocortisone