Successful treatment of extreme hyponatremia in an anuric patient using continuous venovenous hemodialysis.
Rapid correction of severe hyponatremia can result in osmotic demyelination syndrome. Patients with severe hyponatremia and renal failure requiring dialysis pose a therapeutic challenge since the use of conventional intermittent hemodialysis will result in a rapid correction of the serum sodium level. We report the case of a 52-year-old woman with extreme hyponatremia and severe acute kidney injury, who was successfully treated with continuous venovenous hemodialysis using a modified dialysate solution with a low sodium concentration that was adjusted on a daily basis.
Division of Anesthesiology and Critical Care, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
Olof
O
Viktorsdottir
Olafur Skuli
OS
Indridason
Runolfur
R
Palsson
D058186:Acute Kidney Injury / Q000150:complications / Q000628:therapy; D001002:Anuria / Q000209:etiology; D005260:Female; D015312:Hemodialysis Solutions; D006801:Humans; D007010:Hyponatremia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D006435:Renal Dialysis / Q000379:methods; D016896:Treatment Outcome
D015312:Hemodialysis Solutions