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Hyponatraemia in clinical practice
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  • Published on: 26 June 2007
    Iatrogenic Hyponatraemia due to 5% Dextrose Infusion.

    Dear Editor,

    The authors of this article deserve appreciation for such a detailed description of pathophysiology and treatment of hyponatraemia. It is a very pertinent discussion of a not so uncommon problem in hospitalised patients. The authors have briefly mentioned use of 5% Dextrose infusion as a cause for hyponatraemia in postoperative patients. This is a very valid point and needs further discussion.

    ...
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    Conflict of Interest:
    None declared.
  • Published on: 26 June 2007
    Clinical findings are not enough.

    Dear Editor

    In excellent review of Hyponatremia by Biswas and Davies (1) they do not emphasize that clinical assessment correctly identified only 47 percent of hypovolemic patients and 48 percent of normovolemic patients (2). Moreover, McGee et al. reported that a large postural pulse change (> or =30 beats/min) or severe postural dizziness is required to clinically diagnose hypovolemia due to blood loss, alth...

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    Conflict of Interest:
    None declared.