Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Jan 9, 2023; 12(1): 29-34
Published online Jan 9, 2023. doi: 10.5492/wjccm.v12.i1.29
Severe hypernatremia in hyperglycemic conditions; managing it effectively: A case report
Maulik K Lathiya, Praveen Errabelli, Susan M Cullinan, Emeka J Amadi
Maulik K Lathiya, Susan M Cullinan, Department of Emergency, Mayo Clinic Health System, Eau Claire, WI 54703, United States
Praveen Errabelli, Department of Nephrology, Mayo Clinic Health System, Eau Claire, WI 54703, United States
Emeka J Amadi, Hospital Internal Medicine, Mayo Clinic Health System, Eau Claire, WI 54703, United States
Author contributions: Lathiya MK and Errabelli P contributed to the conceptualization, writing, original draft preparation, graphics, reviewing; Cullinan SM contributed to original draft preparation, reviewing and editing; Amadi EJ contributed to reviewing and editing.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Maulik K Lathiya, MBBS, Research Fellow, Department of Emergency, Mayo Clinic Health System, 1221 Whipple Street, Eau Claire, WI 54703, United States. lathiya.maulik@mayo.edu
Received: September 18, 2022
Peer-review started: September 18, 2022
First decision: September 27, 2022
Revised: October 7, 2022
Accepted: November 29, 2022
Article in press: November 29, 2022
Published online: January 9, 2023
Processing time: 107 Days and 7.7 Hours
Core Tip

Core Tip: Hyperglycemia is usually associated with hyperkalemia, but it is rare to see hypernatremia with hyperglycemia as hyperglycemia is usually seen with pseudohyponatremia. Correcting hypernatremia with hyperglycemia is challenging because of the complex fluid requirements in this situation. We are describing a case here with severe hyperglycemia and severe hypernatremia. In our case, we have used free water flushes via nasogastric access and desmopressin to correct the free water deficit, which hasn't been described previously in the literature. This makes our case unique.