Table 1.
Patient No. | Baseline Data | Water Diuresis Manifestation Time from Correction Start (h) | Infusate and Fluid Loss Formula Use | Correction Methods until Water Diuresis Manifestation | Before Water Diuresis Manifestation | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age (yr) | Sex | Body Weight (kg) | s[Na] (mEq/L) | Hyponatremia Cause | Hyponatremia Symptom | s[Na]bef (mEq/L) | UVbef (ml/h) | u[Na+K]bef (mEq/L) | EFWCbef (ml/h) | ||||
1 | 65 | Female | 40.0 | 117 | Unidentified | Coma | 6 | − | HTS (RBI), NS | 119 | 90 | 51.7 | 51 |
2 | 70 | Female | 29.6 | 112 | SIAD (vaccine stress) | Nausea, headache | 9 | + | HTS (RBI) | 118 | 55 | 106.3 | 5 |
3 | 82 | Male | 59.9 | 107 | SIAD (surgery stress) | Coma | 13 | − | HTS (SCI) | 109 | 33 | 91.3 | 5 |
4 | 43 | Male | 65.0 | 104 | Oral DDAVP | Nausea | 3 | − | D5W | 105 | N/A | 59.4 | N/A |
5 | 92 | Female | 52.6 | 108 | SIAD (stomacache) | Nausea, general weakness | 5 | + | NS | 109 | 270 | 110 | −2 |
6 | 54 | Male | 61.4 | 108 | Primary polydipsia | Drowsiness, general weakness | 3 | + | D5W | 108 | 60 | 11.2 | 54 |
7 | 61 | Male | 60.7 | 111 | Primary polydipsia | Seizure, coma | 4 | + | HTS (RBI), NS, D5W | 115 | 380 | 104 | 36 |
8 | 87 | Female | 43.1 | 114 | Hypovolemic | Nausea | 12 | + | NS | 115 | 10 | 14.3 | 9 |
9 | 55 | Female | 39.0 | 120 | Primary polydipsia+SNRI | Seizure, coma | 12 | + | HTS (RBI, SCI) | 131 | 117 | 57.7 | 65 |
10 | 93 | Female | 43.7 | 111 | SIAD (rib fracture) | Unsteady gait | 6 | + | NS | 112 | 650 | 86.8 | 146 |
11 | 51 | Male | 40.3 | 112 | Unidentified | Drowsiness, general weakness | 2 | − | HTS (SCI) | 116 | N/A | 46.5 | N/A |
12 | 53 | Male | 70.6 | 116 | Primary polydipsia+thiazide | Coma, vomiting | 2 | − | D5W | 116 | N/A | 49.7 | N/A |
13 | 51 | Male | 60.0 | 111 | Acute heart failure | Drowsiness | 6 | + | HTS (SCI), LD | 110 | 182 | 82.7 | 45 |
14 | 71 | Female | 56.3 | 110 | Primary polydipsia+thiazide | Drowsiness | 1 | + | HTS (RBI, SCI) | 112 | N/A | N/A | N/A |
15 | 74 | Male | 55.0 | 112 | SIAD (herpes zoster pain) | Vomiting | 22 | + | NS | 115 | 10 | 31.7 | 7 |
16 | 49 | Female | 42.2 | 113 | Primary polydipsia | Vomiting | 1 | + | NS | 113 | N/A | N/A | N/A |
17 | 66 | Male | 44.5 | 110 | Hypovolemic+SNRI | Drowsiness, unsteady gait | 3 | + | HTS (SCI) | 112 | 40 | 48.2 | 23 |
18 | 49 | Female | 49.5 | 115 | Carbamazepine | Drowsiness | 13 | − | NS, D5W | 118 | 93 | 111.4 | 5 |
19 | 84 | Female | 68.8 | 117 | Oral DDAVP | Unsteady gait | 10 | − | HTS (SCI), D5W | 121 | 100 | 54.7 | 55 |
20 | 73 | Male | 35.5 | 116 | Thiazide | Drowsiness | 19 | + | NS, D5W | 121 | 63 | 73.8 | 25 |
21 | 70 | Female | 44.0 | 112 | Hypovolemic | Coma | 34 | − | NS | 122 | 77 | 19.1 | 65 |
22 | 47 | Male | 44.4 | 99 | Primary polydipsia | Drowsiness | 2 | − | NS | 99 | 130 | 52.3 | 61 |
23 | 71 | Male | 47.4 | 110 | Hypovolemic | General weakness, fatigue | 4 | + | NS, LD | 112 | 400 | 79.6 | 116 |
24 | 97 | Female | 37.7 | 107 | SIAD (stomach ache) | Vomiting | 6 | + | HTS (RBI, SCI), NS | 115 | 20 | 118.8 | −1 |
25 | 74 | Female | 29.8 | 109 | Hypovolemic | Vomiting | 4 | + | HTS (RBI), D5W | 116 | 250 | 80.4 | 77 |
26 | 80 | Female | 62.2 | 114 | Primary polydipsia | Nausea, unsteady gait | 3 | + | NS | 115 | N/A | 61.2 | N/A |
27 | 79 | Male | 53.6 | 103 | Thiazide | Nausea | 40 | + | HTS (RBI, SCI), NS | 116 | 77 | 60.5 | 37 |
28 | 84 | Female | 40.3 | 107 | Hypovolemic+SNRI | Nausea | 30 | + | HTS (RBI), NS, D5W | 117 | 53 | 56.9 | 27 |
29 | 84 | Male | 49.4 | 110 | SIAD (arthralgia) | Nausea | 15 | + | HTS (RBI), NS, D5W | 116 | 75 | 38 | 50 |
30 | 78 | Female | 44.7 | 108 | Hypovolemic | Vomiting | 2 | + | HTS (RBI), D5W | 112 | 230 | 60.3 | 106 |
Median | 71 | 46.1 | 111 | 6 | 115 | 84 | 59.9 | 41 | |||||
IQR | 54–83 | 40.3–59.9 | 108–114 | 3–13 | 112–117 | 54–218 | 48.6–85.8 | 8–64 |
D5W, dextrose 5% in water; DDAVP, desmopressin acetate; EFWC, electrolyte-free water clearance; HTS, hypertonic saline; IQR, interquartile range; LD, loop diuretics; N/A, not applicable; NS, normal saline; RBI, rapid bolus infusion; SCI, slow continuous infusion; SIAD, syndrome of inappropriate antidiuresis; s[Na], serum sodium concentration; SNRI, serotonin noradrenaline reuptake inhibitor; u[Na+K], urinary sodium plus potassium; UV, urine volume.