In the absence of a proven cause, we propose that the combined effects of a moderately severe hyperthermia (perhaps ~41.5[degrees]C), hypertonic hypernatraemia
caused by reduced total body water content and which delays post-exercise recovery, (19) associated with a possible hypoglycaemia, might have combined to cause a transient encephalopathy in Peters.
Inadequate resuscitation and poor oral intake in our patient, who had a low GCS, may have caused the hypernatraemia
. The return of the BUN and serum creatinine to normal levels following fluid therapy was consistent with prerenal failure.
It would be difficult to suggest recommendations to avoid this specific occurrence as much debate exists on the role of PPI prophylaxis in preventing stress ulceration in postoperative patients, with the reported risks of associated hypernatraemia
Clinical presentation of hypernatraemia
in elderly patients.
With their immature kidneys, young infants fed fresh goat's milk are at substantive risk of hypernatraemia
and azotaemia, particularly with dehydration.
Her blood tests, taken 4 hours after ingestion of the NaP preparation, revealed mild hypernatraemia
(149mmol) and hyperphosphataemia (6.15 mg/dl).
Sodium bicarbonate alone usually fails to correct the acidosis, may cause intracellular acidosis and hypernatraemia
, and does not remove metformin (2).
The dilemma of diagnosing the cause of hypernatraemia
: Drinking habits vs diabetes insipidus.
The youngster died three days later in hospital of brain damage brought on by hypernatraemia
- abnormally high levels of sodium in the blood.
Secondly, diagnosing dehydration simply on the basis of hypernatraemia
may be incorrect because hypernatraemia
may also be caused by an age-related increase in osmality .
Owing to the resulting polyuria, subsequent hypovolaemia and hypernatraemia
are seen, and hypokalaemia can develop.
In the hypernatraemia
group, patients were divided into community-acquired (50.4%) and hospital-acquired (49.6%) hypernatraemia
, with 49.1% having persistent hypernatraemia