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Significant hyponatremia following DDAVP administration in a healthy adult

✍ Scribed by John E. Humphries; Helmy Siragy

Publisher: John Wiley and Sons
Year: 1993
Tongue: English
Weight: 368 KB
Volume: 44
Category: Article
ISSN: 0361-8609
DOI: 10.1002/ajh.2830440104

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✦ Synopsis

We report the development of significant hyponatremia (1 21 mEq/L) following three daily intravenous doses of desmopressin acetate (DDAVP; 18 wg; 0.3 p.g/kg) in a healthy adult with moderate von Willebrand's disease. Previous reports suggest that clinically important hyponatremia due to DDAVP administration only occurs in the very young, those receiving hypotonic intravenous fluids or those given multiple frequent (e.g., every 6-12 hours) doses of DDAVP. None of these conditions was present in this case. Consideration should be given to monitoring serum sodium levels and fluid balance in patients receiving more than a single dose of DDAVP, even in the absence of previously reported risk factors for the development of hyponatremia.

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