Severe Hyponatremic Encephalopathy following Bowel Prep for Colonoscopy

CONCLUSION This case highlights the need for physicians to be aware of the potential electrolyte disturbances that can occur in susceptible individuals during bowel prep for a colonoscopy. Any patient presenting with acute altered mental status in this setting should receive prompt electrolyte measurements and treatment of hyponatremia with hypertonic saline to help minimize associated morbidity. REFERENCES Adrogue HJ, Madias NE. Hyponatremia. N Engl J Med. 2000;342 (21):1581-1589. Frizelle FA, Colls BM. Hyponatremia and seizures after bowel preparation: report of three cases. Dis Colon Rectum. 2005;48(2):393-396. doi:10.1007/s10350-004-0778-6. Hwang KS, Kim G-H. Thiazide-induced hyponatremia. Electrolyte Blood Press. 2010;8(1):51-57. doi:10.5049/EBP.2010.8.1.51. Lauriat SM, Berl T. The hyponatremic patient: practical focus on therapy. J Am Soc Nephrol. 1997;8:1599-1607. Vaidya C, Ho W, Freda BJ. Management of hyponatremia: Providing treatment and avoiding harm. Cleveland Clinic Journal of Medicine. 2010:10:715-726 Wittler MA. Fluids, electrolytes, and acid-base disorders. In: Cline DM, Ma OJ, Cydulka RK, Meckler GD, Handel DA, Thomas SH, eds. Tintinalli’s Emergency Medicine Manual. 7th ed. New York: McGraw-Hill; 2012. http://www.accessemergencymedicine.com/content.aspx?aID=56271315. Accessed July 23, 2015. Cassagnol M, Shogbon AO, Saad M. The therapeutic use of vaptans for the treatment of dilutional hyponatremia. Journal of Pharmacy Practice. 2011:24(4) 391–...
Source: EPMonthly.com - Category: Emergency Medicine Authors: Tags: Uncategorized Source Type: news

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