"The Hyponatremia.ˮ A Real Masquerader in Emergency Medicine
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: The Hyponatremia is a most common electrolyte disorder, occurring in up to 30% among hospitalized patients and has been associated with increased mortality. Current research aimed to study the etiology, clinical presentations of Hyponatremia in admitted patients in an emergency medicine department, to analyse the biochemical spectrum of Hyponatremia and to study the associated morbidity and mortality of Hyponatremia. Material and methods: An observational study was done in the present institute after obtaining the ethical clearance from committee. In the emergency medicine ward, all the patients, including symptomatic and asymptomatic, blood samples were taken and serum electrolytes estimation was done in central biochemistry laboratory. The patients who found to had hyponatremia were selected and values repeated once more for confirmation. Results: Total number of cases included in our study are 422 patients, in that 60.9% (257) were male, 39.1% (165) were females. The main comorbid conditions with hyponatremia found in our study were hypertension (8.53%), Diabetes mellitus (9.95%), chronic alcohol intake (6.63%), ischemic heart disease (2.13%), HIV positive with AIDS related complex (1.18%), COPD (2.6%), thyroid illness in three cases [p value <0.001]. Conclusion: The Hyponatremia is a real masquerador in emergency medicine and it is most easily treatable also. Which needs to be suspected in every case, who gets admitted in emergency medical wards and confirmed by appropriate investigations early and promptly in order to reduce morbidity and mortality associated with this condition.
Authors and Affiliations
Krishnamurthy H A, Srinivas K
Keywords
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