Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc |
Journal website https://www.jofem.org |
Case Report
Volume 10, Number 3-4, August 2020, pages 101-105
A Case Report of Water Intoxication During Radioactive Iodine Treatment: Why Physicians Should Communicate Clearly With Patients
Figures
Table
Parameter | Baseline | First onset of symptoms | In ICU | Prior to discharge from ICU | Reference range |
---|---|---|---|---|---|
Liver function tests and blood gases were within normal reference ranges and not indicated here. ICU: intensive care unit; eGFR: estimated glomerular filtration rate; MDRD: Modification of Diet in Renal Disease; TSH: thyroid stimulating hormone. | |||||
Na+ | 148 mmol/L | 112 mmol/L | 113 mmol/L | 131 mmol/L | 136 - 145 mmol/L |
K+ | 4.3 mmol/L | 4.2 mmol/L | 3.9 mmol/L | 4.6 mmol/L | 3.5 - 5.1 mmol/L |
Urea | 3.2 mmol/L | 1.3 mmol/L | - | - | 2.1 - 7.1 mmol/L |
Creatinine | 55 µmol/L | 53 µmol/L | - | - | 49 - 90 µmol/L |
eGFR (MDRD formula) | > 60 mL/min/1.73 m2 | > 60 mL/min/1.73 m2 | - | - | |
Corrected Ca2+ | - | 2.01 mmol/L | 1.50 mmol/L | 1.89 mmol/L | 2.15 - 2.50 mmol/L |
Red blood cells | - | 10.1 mmol/L | - | - | 3.93 - 5.40 × 109/L |
White blood cells | - | 13.14 × 109/L | - | - | 3.90 - 12.60 × 109/L |
Hemoglobin | - | 10.6 g/dL | - | - | 11.6 - 16.4 g/dL |
C-reactive protein | - | < 10 mg/L | - | - | < 10 mg/L |
free T4 | 5.3 pmol/L | 1.1 pmol/L | - | - | 12.0 - 22.0 pmol/L |
TSH | 66.53 mIU/L | - | - | - | 0.27 - 4.20 mIU/L |
Urine osmolality | - | - | 86 mmol/kg | - | 50 - 1,200 mmol/kg |
Blood osmolality | - | - | 252 mmol/kg | - | 275 - 295 mmol/kg |
Bicarbonate | - | - | 15 mmol/L | 16 mmol/L | 23 - 29 mmol/L |
Cl- | - | - | 81 mmol/L | 97 mmol/L | 98 - 107 mmol/L |