Warwick Hospital,
South Warwickshire NHS Trust
United Kingdom
Case Report
Severe Hyponatraemia and Associated Seizure Following the
Administration of Sodium Picosulfate/Magnesium Citrate (Picolax): A
Case Report
Author(s): John Alexander Lewis Storrow, Rajni Mahto and Umar Y RajaJohn Alexander Lewis Storrow, Rajni Mahto and Umar Y Raja
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 electrolyt.. Read More»
DOI:
10.4172/2165-7920.1000489
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report