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| Name | What happens if hyponatremia is corrected to rapidly? |
| Video Uploader | Video From Medical-Question |
| Upload Date | This Video Uploaded At 10-09-2019 00:51:10 |
| Video Discription | A 73-year-old female comes to the emergency room with profound weakness, weight loss, severe diarrhea and mental status changes. Is found to have sodium of 105 mEq/L. You admit the patient for to the hospital for treatment of hyponatremia. What could happen if you correct the sodium too quickly. If the serum osmolality is corrected too rapidly in patients with hyponatremia, intracellular sodium not keep pace with the rising extracellular sodium, resulting in cell shrinkage and a neurologic disorder called osmotic demyelination syndrome (formerly called central pontine myelinolysis). Most patients with this syndrome present with a serum sodium of less than 120 mEq/L. The often irreversible symptoms typically occur 2-6 days after overly rapid serum sodium correction. Symptoms include dysarthria, dysphagia, paraparesis or quadriparesis. Other symptoms can include disorientation, lethargy, confusion, movement disorders, obtundation, and coma. [vkVAe6Fud2Q] |
| Category | Education |
| Tags | hyponatremia | osmotic demyelination syndrome | central pontine myelinolysis | hyponatremia (disease or medical condition) | hypernatremia (disease or medical condition) | osmotic demyelination syndrome symptoms | central pontine myelinolysis mri | pontine | medical | cerebral osmotic demylineation | low sodium |
