HYPONATREMIA-HYPERTONIC HYPONATREMIA
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SUMMARY
1. Hyperglycemia => increase serum osmolality => water drawn from cells => expands ECF and lowers serum Na concentration.
CAUSES
2. IVIG infusion: hypertonic solution.
3. Sorbitol or mannitol irrigation in urological or gynecological procedures: expansion of ECF.
Reference(s)
Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].