Incidence and Outcome of Severe Hyponatremia in Children and Young Adults A Single Institution Experience
Journal Title: Sultan Qaboos University Medical Journal - Year 2006, Vol 6, Issue 1
Abstract
Objective: Our two main objectives are to assess the incidence and the outcome of severe hyponatremia in young hospitalized patients. Method: We retrospectively reviewed the incidence and outcome of severe hyponatremiac (Na <25 mmol/l) inpatients less than 8 years of age, admitted as consecutive admissions during one calender year. Psuedohyponatremia and artifactual hyponatremia were excluded. Patients’ demographics, clinical features, laboratory, treatment and outcomes were recorded. Results: Of 356 admissions of patients less than 8 years of age, 20 developed severe hyponatremia. Nausea, vomiting, irritability, clouded sensorium and seizures were the most common symptoms and signs. Underlying central nervous system disease, pneumonia and malignancy were major co-morbid conditions. Te initial volume status was determined as hypervolemia (n=7), hypovolemia (n=7) and euvolemia (n=6). Iatrogenic (diuretics 5 and hypotonic fluids 7) hyponatremia accounted for 60% of all cases. Mortality was 20%. Conclusion: Patients receiving intravenous hypotonic fluids should be closely monitored for the development of hyponatremia. Te common etiology of hyponatremia in our studied cohort of patients is iatrogenic.
Authors and Affiliations
Zakia Al-Lamki| Department of Child Health, Sultan Qaboos University, College of Medicine and Health Sciences, P.O.Box 35, Al-Khod, Muscat 123, Sultanate of Oman, Mahfooz A Farooqui| Department of Child Health, Sultan Qaboos University, College of Medicine and Health Sciences, P.O.Box 35, Al-Khod, Muscat 123, Sultanate of Oman, Saeed Ahmed| Department of Child Health, Sultan Qaboos University, College of Medicine and Health Sciences, P.O.Box 35, Al-Khod, Muscat 123, Sultanate of Oman
Keywords
Related Articles
- EP ID EP13677
- DOI -
- Views 332
- Downloads 17
The Epidemics of Obesity and Cancer No simple remedy
Radiation Exposure Levels in Family Members of Omani Patients with Thyrotoxicosis Treated with Radioiodine (131I) as Outpatients
Tis study was conducted to assess whether the radiation exposure levels of Omani family members of thyrotoxic patients, if treated with radioiodine therapy as outpatients, are within the international and local radiati...
The Carpal and Tarsal Bones of the Human Body: Arabic mnemonics
Memorising human anatomy structures remains a challenge for nursing students. Educators endeavour to make human anatomy interesting and easy to memorise. Various instructional approaches can be used to help students enha...
Validation of a Persian Short-Form Version of a Standardised Questionnaire Assessing Oral Cancer Knowledge, Practice and Attitudes Among Dentists
Objectives: Oral cancer is a global health problem; however, many dentists lack the necessary skills, knowledge and capacity to diagnose oral cancers early. Tis study aimed to examine the validity and reliability of a...
Thoracic Endometriosis Presenting with Bilateral Hydropneumothorax.
No Abstract