Search Submit Your Manuscript

Become A Member

  1. Home
  2. January 2018
  3. 3. Comparison of Negative Appendectomy Rate between Alvorado Score and Adult Appendicitis Score at Allama Iqbal Memorial Teaching Hospital Sialkot
Article Image
Admin

3. Comparison of Negative Appendectomy Rate between Alvorado Score and Adult Appendicitis Score at Allama Iqbal Memorial Teaching Hospital Sialkot

Shafiq Cheema1, Sidra Cheema2 and Aqsa Rahman2

ABSTRACT

Objective: The objective was to alleviate cerebral edema, not to correct sodium. So give to only severely symptomatic patients.

Study Design: Cross-sectional study

Place and Duration of Study: This study was conducted at the National Hospital and Medical Center, Lahore, Pakistan over 90 days period from October 1, 2016 till December 31, 2016.

Materials and Methods: Total of 108 (4.2%) patients out of 2560 patients had hyponatremia defined as serum sodium level of less than 135 mmol/L. There were 60 (55.5%) male patients and 48 (44.4%) female patients, Average age was 56 years.  

Results: Severe hyponatremia (defined as Na+ < 120 mmol/L) was detected in 24 patients (22.2%). The largest group of hyponatraemic patients were euvolemic [48 (44.4%)], followed by hypervolemic [32 (29.6%)] and hypovolemia [28 (25.9%)].Out of total 108, thirty (27.7%) patients fulfilled the criteria for syndrome of inappropriate anti diuretic hormone (SIADH). During the hospital stay, 4/108 (3.7 %) hyponatraemic patients died. None of the deaths were secondary to hyponatremia. Tolvaptan (a V2RA) was not given to any patient and only 4/108 (3.7%) received 3% saline. At discharge, 84/108 (77.7%) had serum sodium more than 135 mmol/L.

Conclusion: Hyponatremia is common in hospitalized patients of Pakistan. Euvolemic hyponatremia was the most common type, a significant number of which was secondary to SIADH. Management of hyponatremia is challenging but we were able to manage hyponatremia in most of our patients despite non-availably of 3% saline or V2 receptor antagonists.

Key Words: Euvolemic, hyponatremia, syndrome of inappropriate antidiuretic hormone secretion.

Citation of articles: Cheema S, Cheema S, Rahman A. Prevalence, Etiology and Management of Hyponatremia in Hospitalized Patients. Med Forum 2018;29(1):6-9.