Symptomatic Hyponatremia Following Tonsillectomy despite Using Isotonic Fluid
Yuseon Cheong, Seung Ah Lee, Yun Ho Yang, Nam Yung Kim
International Journal of Medical and Pharmaceutical Case Reports · pp. 1–5 · Published 28 Sep 2018
10.9734/IJMPCR/2018/44044Abstract
Hyponatremia is the most common electrolyte imbalance in inpatients, but severe symptomatic hyponatremia has a higher mortality rate in compared to normal patients. Post-operative hyponatremia in children can usually occur following administration of hypotonic fluid. However, inappropriate secretion of the antidiuretic hormone can also be the cause of post-operative hyponatremia. The study presents a case of Sixyear girl, who developed symptomatic hyponatremia despite administration of lactated Ringer’s solution after tonsillectomy. After electrolyte correction with 3% saline, the child recovered well without any further complications.
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