Acute Hyponatremia With Seizure and Mental Change After Oral Sodium Picosulfate/Magnesium Citrate Bowel Preparation
조영선, 남경민, 박장호, 변상환, Ryu Jin-Suck, 김현주,
소속 상세정보
조영선 ( Cho Young-Sun )
Wallace Memorial Baptist Hospital Department of Internal Medicine
남경민 ( Nam Kyung-Min )
Wallace Memorial Baptist Hospital Department of Internal Medicine
박장호 ( Park Jang-Ho )
Wallace Memorial Baptist Hospital Department of Internal Medicine
변상환 ( Byun Sang-Hwan )
Wallace Memorial Baptist Hospital Department of Internal Medicine
( Ryu Jin-Suck )
Wallace Memorial Baptist Hospital Department of Internal Medicine
김현주 ( Kim Hyun-Ju )
Wallace Memorial Baptist Hospital Department of Internal Medicine
KMID : 0356720140300060290
Abstract
Sodium picosulfate/magnesium citrate (Picolight Powder), which is used as a bowel preparation for the colon and the rectum, can cause a severe electrolyte imbalance like hyponatremia. When hyponatremia gets severe or occurs rapidly, it can lead to death due to associated complications. We have experienced a case of hyponatremia associated with seizure and loss of consciousness in a 76-year-old woman, who took sodium picosulfate/magnesium citrate as a bowel preparation for colonoscopy. She was taking thiazide and synthroid for the treatment of hypertension and hypothyroidism, respectively, and she had other underlying medical conditions such as a history of seizure and dementia. Following the diagnosis of hyponatremia, we used an intravenous injection of 3% NaCl to normalize the sodium level in her serum, and her associated symptoms soon disappeared.
키워드
Picosulfate sodium; Bowel preparation; Hyponatremia; Seizures; Colonoscopy
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