CLINICAL PROFILE OF SEVERE HYPONATRAEMIA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 63
Abstract
BACKGROUND Hyponatraemia is a common electrolyte abnormality that can be seen in isolation or as most often as a complication of other medical illness. Clinically, hyponatraemia is often unrecognised when it develops slowly, whereas severe hyponatraemia particularly of rapid onset is associated with substantial morbidity and can be life-threatening. Hyponatraemia is one of the treatable causes of electrolyte disorder with neuropsychiatric manifestations. MATERIALS AND METHODS Patients detected to have severe/symptomatic hyponatraemia admitted in the Department of General Medicine and Surgery was included in the present study. All were evaluated by a detailed history, clinical examination and relevant blood investigations. RESULTS Among the study subjects, 51% were males, 84% of subjects were beyond 60 years of age with mean age of 69.94 years. Majority of them had acute onset. Alternation in the sensorium was the most common presentation (98%), followed by weakness. CONCLUSION Severe/symptomatic hyponatraemia is more common among the elderly population. Lower the serum sodium baseline level, higher the probability of severe grades of altered sensorium (coma, stupor) and convulsions.
Authors and Affiliations
Thuruthikattu Devan Unnikrishnan Kartha, Praveen Keshav
Keywords
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