Treatment and Outcome Severe Symptomatic Hyponatremia: Case Report

Hyponatremia is one of the most common electrolyte abnormalities encountered in clinical practice. It is not a disease but rather a pathophysiologic process indicating disturbed water homeostasis. Severe hyponatremia is often defined as PNa level under 120 mmol/L and may lead to seizures, obtundation, coma, and respiratory arrest, it is of paramount importance for the clinician to be aware of the various scenarios in which hyponatremic patients can present and tailor the management strategies accordingly. We present here a case of severe hyponatremia of unknown duration with the presenting plasma sodium level of 94 mmol/L and use it to illustrate the various treatment strategies.