Table 1.
Age (years) | Sex | NaCl ingestion (g) | Peak serum Na+ concentration (mEq/L) | Correction rate | Duration prior to ED arrival from digestion (h) | Reference no. |
---|---|---|---|---|---|---|
39 | F | 60 | 176 | Slow | 0.3 | 7 |
20 | F | 150 | 174 | Slow | 3 | 2 |
73 | M | Unknown | 188 | Slow | 12 | 4 |
85 | F | 60–70 | 193 | Slow | Unknown | 6 |
55 | F | 104 † | 161 | Unknown | 0 | 8 |
32 | Unknown | 121 † | 150 | Unknown | 0 | 8 |
19 | M | 173 | 196 | 37 mEq/0.5 h | 2 | 3 |
65 | F | 207 | 176 | 30 mEq/2 h with hemodialysis | 3 | 5 |
54 | F | Unknown | 185 | 3 mEq/h | 21 | 9 |
40 | F | 70 | 183 | 16 mEq/5 h | >4 | Our case (dead) |
A total of nine cases of hypernatremia resulting from massive salt ingestion have been reported: four of them were treated using a slow sodium reduction rate, and two of them were treated with more aggressive therapy using a more rapid sodium correction rate. The duration of hypernatremia in the latter two cases was short prior to their arrival in the emergency department (ED).
F, female; M, male.
Vomited just after ingestion.