[Electrolyte disorders in preeclampsia. A case report]

Area of Science:

• Obstetrics and Gynecology
• Endocrinology
• Nephrology

Background:

• Preeclampsia is a serious pregnancy complication.
• Electrolyte imbalances, including hypocalcemia and hyponatremia, are uncommon but significant in preeclampsia.
• Understanding the causes of these disorders is key for effective management.

Observation:

• Hyponatremia in preeclampsia signifies severity and necessitates etiological investigation.
• Fluid restriction is rarely a suitable treatment for pregnant women with hyponatremia.
• Hypocalcemia requires monitoring during high-dose intravenous magnesium sulfate therapy for preeclampsia.

Findings:

• Hypocalcemia in preeclampsia necessitates ruling out other causes like vitamin D deficiency, hypoparathyroidism, or calcium loss.
• Severe or symptomatic hypocalcemia may require intravenous or oral calcium replacement therapy.

Implications:

• Early identification and management of electrolyte disturbances in preeclampsia can improve maternal and fetal outcomes.
• Tailored treatment strategies are essential, considering the specific electrolyte disorder and its underlying cause.
• Further research into the mechanisms and optimal management of these rare complications is warranted.