Hospital-acquired acute hyponatremia and reports of pediatric deaths

Dynamics. Spring 2010;21(1):21-6.

Abstract

Information from four voluntary reports of hospital-acquired acute hyponatremia leading to the death of otherwise healthy children is highlighted. In this column, we present two cases and information from a recent ISMP Canada Safety Bulletin, as well as two cases reported to ISMP United States. Information is shared to enhance health care practitioners' awareness of the potential for acute hyponatremia and to provide an overview of some of the potential underlying factors.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Canada / epidemiology
  • Child
  • Child, Preschool
  • Critical Care
  • Fatal Outcome
  • Fluid Therapy / adverse effects*
  • Hospitalization
  • Humans
  • Hyponatremia / etiology*
  • Hyponatremia / mortality
  • Hyponatremia / prevention & control
  • Hypotonic Solutions / adverse effects*
  • Medical Errors / nursing
  • Medical Errors / prevention & control
  • Medical Errors / statistics & numerical data*
  • Nursing Assessment
  • Risk Management
  • United States / epidemiology

Substances

  • Hypotonic Solutions