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Hypertonic Saline Administration via Intraosseous Access During Symptomatic Hyponatremia
Angel Juarez1, Mitsy Barr1, Thaddeus Golden2
1Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.
Cureus
|August 14, 2023
Summary
Severe hyponatremia requires urgent 3% saline treatment. This case report details using intraosseous vascular access for 3% saline administration when traditional IV access was unavailable.
Area of Science:
- Medicine
- Emergency Medicine
- Clinical Case Reports
Background:
- Hyponatremia, a common electrolyte imbalance, presents with diverse symptoms based on severity and duration.
- Numerous conditions, including heart failure, renal injury, liver disease, and medications, can cause hyponatremia.
Observation:
- Life-threatening hyponatremia necessitates immediate intervention with 3% saline.
- Standard administration routes include peripheral and central intravenous (IV) access.
Findings:
- This case report introduces intraosseous vascular access as a viable alternative for 3% saline delivery.
- Intraosseous access was utilized when conventional IV routes were exhausted.
Implications:
- Intraosseous access provides a critical alternative for emergency 3% saline administration in severe hyponatremia.
- This method expands treatment options when peripheral or central IV access is not feasible.
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