Table 1.
Patient | Age (yr)/Gender | Causative Factors of Hyponatremia | Precorrection PNa (mmol/L) | Rx With 3% NaCl | ΔPNa before DDAVP (mmol/L) | Time of DDAVP from Precorrection PNa (h) | Correction Rate before DDAVP (mmol/L per h) | Urine Output before DDAVP (ml/h) | UOsm before DDAVP (mOsm/kg) | ΔPNa at 24 h (mmol/L) | ΔPNa at 48 h (mmol/L) |
---|---|---|---|---|---|---|---|---|---|---|---|
Group 1 | |||||||||||
1 | 44/F | PSYCH | 122 | No | 16 | 21 | 2.28 | 353 | 199 | 16 | 17 |
2 | 60/F | SSRI, THZ, ALC | 115b | No | 20 | 24 | 1.08 | 425 | 106 | 20 | 20 |
3 | 79/F | HYPOVOL | 109 | No | 12 | 16 | 0.78 | – | 63 | 12 | 12 |
4 | 68/F | SSRI, THZ | 108 | No | 17 | 17 | 0.83 | – | 191 | 17 | 16 |
5 | 24/F | POST-OP, N&V | 129 | No | 13 | 14 | 1.55 | – | – | 13 | 13 |
6 | 65/F | ALC | 112b | No | 13 | 23 | 1.56 | – | 254 | 13 | 13 |
Group 2 | |||||||||||
7 | 42/M | SSRI, ALC | 115b | No | 6 | 5 | 1.26 | 302 | 72 | 7 | 7 |
8 | 66/F | SCCL | 110 | No | 7 | 5 | 1.53 | 148 | 342 | 9 | 14 |
9 | 78/M | SSRI, THZ | 111 | Yes | 1 | 8 | 0.18 | 266 | 284 | 7 | 17 |
10 | 34/F | HYPOVOL, ARF | 124 | No | 3 | 4 | 2.61 | 2796 | 340 | 7 | 16 |
11 | 59/F | ALC, HYPOVOL | 106 | Yes | 10 | 24 | 0.75 | – | 323 | 10 | 17 |
12 | 77/F | COPD, POLYDIP, THZ | 116 | Yes | 9 | 13 | 1.48 | 237 | – | 9 | 9 |
13 | 81/F | SSRI, PNEUM | 110 | Yes | 7 | 10 | 2.00 | 300 | 228 | 9 | 16 |
14 | 87/F | TRICYC, NSAID | 116 | No | 6 | 11 | 1.00 | 419 | – | 9 | 9 |
15 | 48/F | COPD, PNEUM | 110b | Yes | 6 | 18 | 0.57 | 93 | 457 | 8 | 16 |
16 | 63/F | SSRI, CARB, PSYCH | 117 | No | 6 | 4 | 1.50 | 270 | 83 | 12 | 15 |
17 | 61/F | PSYCH, SSRI | 118 | No | 11 | 23 | 1.00 | 378 | 163 | 11 | 14 |
18 | 67/F | SSRI, HYPOVOL | 120 | No | 4 | 8 | 1.00 | 225 | 140 | 8 | 15 |
19 | 54/F | COPD, HYPOX | 117 | No | 11 | 12 | 0.96 | – | 397 | 11 | 15 |
20 | 84/M | THZ, ARF | 120 | No | 6 | 10 | 1.62 | 380 | 308 | 8 | 8 |
ALC, acute alcoholism and alcohol withdrawal; ARF, acute renal failure; CARB, carbamazepine; COPD, chronic obstructive pulmonary disease exacerbation; DDAVP, desmopressin acetate; HYPOVOL, hypovolemia; HYPOX, hypoxemia; NSAID, nonsteroidal anti-inflammatory drug; N&V, nausea and vomiting; PNa, plasma sodium concentration; PNEUM, pneumonia; POLYDIP, polydipsia; POST-OP, postoperative; PSYCH, psychosis with self-induced water intoxication; SCCL, small cell carcinoma of the lung; SSRI, selective serotonin reuptake inhibitor; THZ, thiazide diuretic; TRICYC, tricyclic antidepressant.
Seizure associated with precorrection PNa.