20Jan 2017

CLINICO ETIOLOGICAL PROFILE OF HYPONATREMIA IN IMCU OF KANNIYAKUMARI GOVERNMENT MEDICAL COLLEGE

  • Assistant Professor of Medicine, Kanniyakumari Govt. Medical College.
  • Professor of Medicine , Kanniyakumari Govt. Medical College.
  • Postgraduate in General Medicine , Kanniyakumari Govt. Medical College.
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Background : Sodium is the dominant extracellular cation and its homeostasis is vital to the normal physiologic function of cells. Hyponatremia is defined as a serum level of <135 mmol/L. This study is to evaluate aetiological factors, clinical features of patients with hyponatremia in IMCU (Intensive Medical Care Unit). Methods: An observational study was conducted in 100 patients admitted in Kanniyakumari Govt. Medical College from Jan 2016 to Dec 2016 who had serum Sodium <130mmol/L. History, examination and relevant details were taken. Results:In the present study, the mean age was 68 years. 37% were asymptomatic. The major clinical presentation among those symptomatic was altered sensorium accounting for 45%. The commonest cause was SIADH(Syndrome of Inappropriate AntiDiuretic Hormone secretion) followed by extra-renal causes. The mortality was 5%. Conclusions: Hyponatremia is one of the common causes of altered consciousness and seizures especially in elderly patients. It is very important to classify the hyponatremia and find out the correct etiology. Treatment of hyponatremia is highly rewarding and it should be done in a more scientific way. The common causes and the management protocol should be available in every IMCU.3

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[Eunice S, Christopher Nesamony, Thirukumareswaran Vijayan, Suhas Raj Sivakumar and Sindhu Neelakandan. (2017); CLINICO ETIOLOGICAL PROFILE OF HYPONATREMIA IN IMCU OF KANNIYAKUMARI GOVERNMENT MEDICAL COLLEGE Int. J. of Adv. Res. 5 (Jan). 1263-1270] (ISSN 2320-5407). www.journalijar.com

Eunice S

DOI:

Article DOI: 10.21474/IJAR01/2881      
DOI URL: https://dx.doi.org/10.21474/IJAR01/2881

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