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Chapter 10 - Sodium

from Section 2 - Electrolyte Abnormalities

Published online by Cambridge University Press:  03 August 2023

By
Jennifer Eismon
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 42-year-old male from a group home, who is baseline nonverbal with mental retardation, is brought into the hospital for confusion, muscle weakness, lethargy, poor oral intake, and abdominal pain. The patient is found to have an abdominal hernia. His laboratory results reveal a sodium level of 157 mEq/L. The surgeon is concerned that the hernia is incarcerated and wants to operate immediately. What are your concerns? Would you like to order any more labs or tests? How would you treat the hypernatremia? Would you delay this surgery if it was an elective hernia repair? If this is emergent, what is your anesthetic plan?

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Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 27 - 31
Publisher: Cambridge University Press
Print publication year: 2023

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References

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Winshall, JS, Lederman, RJ. Tarascon Internal Medicine & Critical Care Pocketbook, 3rd ed. Lompoc: Tarascon Publishing, 2004, pp. 146–9.Google Scholar

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