Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/11174
Title: Hyponatraemia-induced rhabdomyolysis complicated by anuric acute kidney injury: a renal replacement conundrum.
Authors: Secombe, Paul
Milne, Chris
Affiliation: Faculty of Health and Medical Sciences, University of Adelaide, The Joanna Briggs Institute, Adelaide, South Australia, Australia.. Department of Intensive Care, Alice Springs Hospital, Alice Springs, Australia..
Department of Intensive Care, Alice Springs Hospital, Alice Springs, Australia..
Issue Date: 13-Dec-2016
Citation: BMJ case reports 2016-12-13; 2016
Abstract: Hyponatraemia-induced rhabdomyolysis is a rare, but reported phenomenon, particularly in patients with chronic schizophrenia on depot antipsychotics prone to psychogenic polydipsia. To the best of our knowledge, there are no reported cases of hyponatraemia-induced rhabdomyolysis complicated by oligo-anuric acute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT). The initiation of CRRT is complicated in severe hyponatraemia, predominantly due to the need to avoid rapid changes in tonicity associated with rapid changes in sodium. We report a case of severe hyponatraemia (104 mmol/L) complicated by oligo-anuric rhabdomyolysis-induced AKI and our management of the renal prescription.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/11174
DOI: 10.1136/bcr-2016-218198
ORCID: http://orcid.org/0000-0002-1137-0512
Type: Case Reports
Journal Article
Subjects: Acute Kidney Injury
Anuria
Humans
Hyponatremia
Male
Middle Aged
Renal Replacement Therapy
Rhabdomyolysis
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