Gennaio Febbraio 2017 - Nefrologo in corsia

Severe multifactorial hyponatremia


Hyponatremia is the most common electrolyte disorder observed in hospitalized patients. The most severe forms are neurological and potentially fatal emergencies; yet increased morbidity, length of hospital stay and costs associated with less severe forms are aspects of major concern. Nephrologists are frequently consulted regarding the therapeutic management and the key pathophysiological issues of hyponatremia, as this latter aspect represents a true challenge in an emergency setting. We report a case of a woman admitted to the emergency room for gait instability caused by a very severe multifactorial hyponatremia with a favourable clinical outcome.

Key words: cerebral edema, hyponatremia, inappropriate antidiuresis syndrome, management hyponatremia, semi-structured interview

Full text of the article is available in Italian.