Hypernatremia Complicating Sodium Sulfate Therapy for Hypercalcemic Crisis

Abstract

EMERGENCY therapy for the preservation of life is occasionally required in primary hyperpara-thyroidism when acute symptomatic hypercaleemi'a ensues.¹ Therapeutic approaches suggested for use in the treatment of hypercalcemic crisis include emergency parathyroidectomy, hemodialysis,² cortico-steroid administration,³ intravenously administered sodium ethylene diamine tetra-acetate (EDTA),⁴ inorganic phosphate,⁵ sodium citrate,⁶ sodium chloride and sodium sulfate.⁷ The purpose of this paper is to record the occurrence of hypematremia developing in the course of therapy of hypercalcemic crisis with sodium sulfate in a patient with a minimally elevated blood urea nitrogen.Case ReportL.S. (904965). a 73-year-old Negro woman, was admitted to the New York Hospital . . .