Sodium loss coma

Natrium loss coma: sodium loss due to gastrointestinal disturbances, surgery, infections, etc., can trigger a crisis like in primary adrenal insufficiency. Peripheral circulatory failure in this type of crisis coma is particularly significant. It is worth noting that patients with this disease may experience increased excretion of sodium in the first few days of corticosteroid application, which may be due to the fact that the glomerular filtration rate was originally low and was increased after treatment. It has been reported that patients were in a coma with significant negative sodium balance less than 1 week after treatment with corticosteroids. In addition, when the thyroid preparation is used alone, especially when the dosage is too large, the body's demand for adrenocortical hormone increases due to the increase of the metabolic rate, and the lack of adrenal hormones is more serious. Promote the excretion of solutes, leading to loss of water and sodium.

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