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Letter
Fatal iatrogenic hyponatraemia
  1. S Playfor
  1. Consultant Paediatric Intensivist, Royal Manchester Children’s Hospital, Hospital Road, Pendlebury, Manchester M27 4HA, UK; Stephen.Playfor@CMMC.nhs.uk

https://doi.org/10.1136/adc.88.7.646-a

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    We recently cared for a 13 month old girl admitted to hospital following a short history of diarrhoea and vomiting. Clinical examination revealed lethargy and moderate dehydration. Initial serum sodium was 137 mmol/l and she was commenced on intravenous fluids using 4% dextrose/0.18% saline.

    Twelve hours after admission the child suffered a generalised tonic-clonic seizure at which time the serum sodium was found to be …

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