{"id":7916,"date":"2014-06-02T19:08:47","date_gmt":"2014-06-02T17:08:47","guid":{"rendered":"http:\/\/medrazgl.si\/?p=7916"},"modified":"2014-06-03T02:03:07","modified_gmt":"2014-06-03T00:03:07","slug":"severe-acute-hyponatriemia-and-transurethral-resection-of-the-prostate-case-presentation-and-overview-of-literature","status":"publish","type":"post","link":"https:\/\/medrazgl.si\/en\/severe-acute-hyponatriemia-and-transurethral-resection-of-the-prostate-case-presentation-and-overview-of-literature\/","title":{"rendered":"Severe Acute Hyponatriemia and Transurethral Resection of the Prostate &#8211; Case Presentation and Overview of Literature"},"content":{"rendered":"<div>\n<p align=\"left\">The article presents a patient who developed severe acute hyponatremia during transuret\u00adhral prostate gland resection. This case is interesting because of the sudden onset as well as the severity of the initial clinical presentation of hyponatremia, which developed despite meti\u00adculous supervision and routine preventive measures. Initial laboratory measurement revea\u00adled an extremely low serum sodium level. Combined with the clinical picture (seizures, loss of consciousness), this indicated severe acute hyponatremia, which was then promptly trea\u00adted. Hyponatremia is the electrolyte disturbance most commonly found in clinical practice and its acute form is seen mostly following transurethral prostate resection. Its other com\u00admon causes include diuretic use, diarrhea, heart failure, and renal disease. Its clinical mani\u00adfestations are primarily neurologic, especially in the case of acute hyponatremia, and they mainly include headache, confusion, and stupor, but seizures and coma may also occur. The treatment involves restriction of water intake and promotion of water loss, as well as repla\u00adcement of any sodium deficit and treatment of the cause.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The article presents a patient who developed severe acute hyponatremia during transuret\u00adhral prostate gland resection. This case is interesting because of the sudden onset as well as the severity of the initial clinical presentation of hyponatremia, which developed despite meti\u00adculous supervision and routine preventive measures. Initial laboratory measurement revea\u00adled an extremely low serum sodium level. [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[394,410,428,426],"tags":[],"class_list":["post-7916","post","type-post","status-publish","format-standard","hentry","category-2-2011-archive","category-anesthesiology","category-clinical-cases","category-internal-medicine"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Severe Acute Hyponatriemia and Transurethral Resection of the Prostate - Case Presentation and Overview of Literature - Dru\u0161tvo Medicinski razgledi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medrazgl.si\/huda-akutna-hiponatriemija-pri-transuretralni-resekciji-prostate-prikaz-primera-in-pregled-literature\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Severe Acute Hyponatriemia and Transurethral Resection of the Prostate - Case Presentation and Overview of Literature - Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"og:description\" content=\"The article presents a patient who developed severe acute hyponatremia during transuret\u00adhral prostate gland resection. This case is interesting because of the sudden onset as well as the severity of the initial clinical presentation of hyponatremia, which developed despite meti\u00adculous supervision and routine preventive measures. Initial laboratory measurement revea\u00adled an extremely low serum sodium level. 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