| Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
| Journal website http://www.jocmr.org |
Case Report
Volume 7, Number 9, September 2015, pages 717-719
Severe Hyponatremia Due to Valproic Acid Toxicity
Table
| Value | Normal range | |
|---|---|---|
| *CO2: carbon dioxide; BUN: blood urea nitrogen; CBC: complete blood count. | ||
| Sodium | 99 | 135 - 145 mmol/L |
| Potassium | 3.7 | 3.3 - 4.6 mmol/L |
| Chloride | 61 | 101 - 110 mmol/L |
| CO2 | 19 | 21 - 29 mmol/L |
| BUN | 5 | 6 - 22 mg/dL |
| Creatinine | 0.33 | 0.51 - 0.95 mg/dL |
| Anion gap | 18 | 42110 |
| Osmolality | 211 | 290 - 308 mOsm/kg |
| Glucose | 125 | 71 - 99 mg/dL |
| TSH | 3.06 | 0.27 - 4.2 mIU/mL |
| VPA level | 59.3 | 50 - 100 mg/L |
| CBC | ||
| WBC | 24 | 4.5 - 11 × 103/mm3 |
| Hemoglobin | 15 | 12 - 16 g/dL |
| Hematocrit | 49% | 37-47% |
| Platelet | 393 | 140 - 440 × 103/mm3 |
| Urine chemistry | ||
| Urine osmolality | 115 | 300 - 900 mOsm/kg |
| Urine sodium | 18 | 20 mEq/L (varies with salt and water intake) |