YMJ. 2013; 7(25): 605-607

PERIOPERATIVE MANAGEMENT OF A PATIENT WITH SYNDROME OF INAPPROPRİATE SECRETION OF ANTIDIURETIC HORMONE: CONTRIBUTION OF TOLVAPTAN

Zehra Eren¹, Ozge Koner², Sibel Temur², Gulcin Kantarcı^3
1Yeditepe University Hospital, Nephrology Department
²Yeditepe University Hospital Anesthesiology and Reanimation
³Yeditepe University Hospital, Nephrology Depatment.

The treatment of SIADH, consists of fluid restriction, salt or salt plus a loop diuretic administration, which may be poorly complied by the patients. In this case we report successfull management of a patient with rezistant(resistant) hyponatremia due to cranial meningioma with oral vasopressin receptor antagonist (Tolvaptan) therapy.

Keywords: Tolvaptan; Inappropriate ADH Syndrome; craniotomy; hyponatremia.

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UYGUNSUZ ADH SENDROMU OLAN HASTANIN PERİOPERATİF YÖNETİMİ: TOLVAPTAN’IN KATKISI

Zehra Eren¹, Ozge Koner², Sibel Temur², Gulcin Kantarcı^3
1Yeditepe University Hospital, Nephrology Department
²Yeditepe University Hospital Anesthesiology and Reanimation
³Yeditepe University Hospital, Nephrology Depatment.

Uygunsuz ADH sendromunun tedavisi, genellikle hastalar tarafından güç uyum sağlanan, sıvı kısıtlaması, tuz ilavesi ya da tuz tedavisine ek olarak verilen “loop” diüretiğiyle yapılır. Bu olguda, kranial menenjioma bağlı dirençli hiponatremi tablosu gelişen hastanın oral vazopressin antagonisti Tolvaptan ile başarılı tedavisini paylaşmaktayız.

Anahtar Kelimeler: Tolvaptan; uygunsuz ADH sendromu; kraniotomi; hiponatremi.

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