alexa Severe Hyponatraemia and Associated Seizure Following the Administration of Sodium Picosulfate/Magnesium Citrate (Picolax): A Case Report | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Severe Hyponatraemia and Associated Seizure Following the Administration of Sodium Picosulfate/Magnesium Citrate (Picolax): A Case Report

John Alexander Lewis Storrow*, Rajni Mahto and Umar Y Raja
Department of Diabetes and Endocrinology, Warwick Hospital, South Warwickshire NHS Trust, UK
Corresponding Author : John Alexander Lewis Storrow
Department of Diabetes and Endocrinology
South Warwickshire NHS Foundation Trust, UK
Tel: +44 1926 495321
E-mail: [email protected]
Received January 26, 2015; Accepted February 26, 2015; Published February 28, 2015
Citation: Storrow JAL, Mahto R, Raja UY (2015) Severe Hyponatraemia and Associated Seizure Following the Administration of Sodium Picosulfate/Magnesium Citrate (Picolax): A Case Report. J Clin Case Rep 5:489. doi:10.4172/2165-7920.1000489
Copyright: © 2015 Storrow JAL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Bowel preparation is known to cause minor electrolyte disturbances. We report the case of a patient with severe hyponatraemia and hypokalaemia, resulting in a seizure, following the administration of picolax. A 60 year old female patient with no significant past medical history and taking no regular medications presented with confusion following administration of picolax for an elective colonoscopy. On arrival her GCS was 14/15 but moments later she had a tonic-clonic seizure, with no urinary incontinence or tongue biting lasting two minutes. Following this, her GCS was 9/15. Laboratory tests revealed a sodium level of 119 mmol/L and a potassium level of 3.1 mmol/L. Other investigations including CT head and lumbar puncture were normal. Following intravenous replacement of electrolytes, her electrolytes improved and GCS returned to 15/15. Severe hyponatraemia, hypokalaemia and associated seizures following bowel preparation are rarely described in the literature. There are only five reported cases of severe electrolyte disturbances following bowel preparation that have caused seizures. We urge care to be taken when prescribing bowel preparation; particularly in those with pre-existing medical conditions and taking medications which can cause hyponatreamia, and to council patients when prescribing bowel preparation on the side effects.

Keywords

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version