20 results for “hypernatraemia”
78y · Female·Hypernatraemia in the setting of lowered oral intake
Kerrie Berlowitz, 78, with cerebral palsy and intellectual disability, died of hypernatraemia (severe sodium elevation) due to dehydration. Living in supported disability accommodation in Carrum, …
62y · Male·Complications of acute renal failure
…community residential unit. He was admitted to Austin Hospital on 3 June 2010 with severe dehydration, hypernatraemia, and acute renal failure. After initial high-dependency care and ICU consultant review, he was dischar…
45y · Female·COVID pneumonia complicated by severe electrolyte abnormalities
…s. She was admitted three times over 3 weeks with progressive electrolyte disturbances (hyperkalaemia, hypernatraemia, metabolic alkalosis) following influenza, then COVID-19 infection. Difficult venous access due to con…
68y · Female·Sepsis (palliated)
…e infected with MSSA osteomyelitis. She was hospitalised in December with sepsis, acute kidney injury, hypernatraemia and malnutrition. The coroner found death due to natural causes. Clinical lessons include: early recog…
60y · Male·end stage refractory chronic congestive cardiac failure on a background of chron…
…Mental Health Act detention. He had multiple comorbidities including psychogenic polydipsia, recurrent hypernatraemia, and severely impaired left ventricular function (EF 18%). Despite aggressive diuresis attempts, his f…
78y · Female·urinary tract infection and pneumonia on a background of facial fractures and de…
…ining oral intake and mobility. Readmitted on 15 April with urinary tract infection, pneumonia, severe hypernatraemia, and hyperosmolality, she died on 18 April. The coroner found the overall care appropriate and that th…
53y · Female·Metastatic breast cancer
…y, coughing, and decreased functioning. Clinical assessment revealed hypoactive delirium, dehydration, hypernatraemia, abnormal liver function, and multiple hepatic metastases. Despite IV fluids and antibiotics, her cond…
2y · Male·Complications of malnutrition
…tem examination revealed severe undernutrition, chronic malnutrition, and significant dehydration with hypernatraemia. Clinical evidence suggested malnutrition had developed over weeks to months. The child's mother, TFC,…
67y · Female·choking and ischaemic heart disease
Patricia Ann Fidge, 67, died at The Queen Elizabeth Hospital from choking and ischaemic heart disease. She was admitted with delirium, hypernatremia, and multiple comorbidities including COPD and sleep apnoea. While eati…
15y · Male·pneumonia in the setting of cerebral palsy and epilepsy
Travis Blows, a 15-year-old with cerebral palsy and difficult-to-control epilepsy, died from pneumonia after a prolonged PICU admission. He presented to ED multiple times in the months before death with seizures and feve…
90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia
… but did not proceed; she was transferred to hospital on 16 December after blood tests revealed severe hypernatraemia. She died 4 days later from infected sacral ulcer and fluid/nutritional imbalance. Clinical forensic r…
42y · Male·Sudden cardiac death in the context of schizophrenia
Anthony Graham Greig Faulkner, a 42-year-old man with longstanding schizophrenia (formerly diagnosed as bipolar disorder), died suddenly on 23 September 2013 while an involuntary psychiatric patient at Cowdy Ward, Royal …
88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…
…acute kidney injury precipitated by severe dehydration in aged care. June 2020 blood tests showed mild hypernatraemia (sodium 149 mmol/L), a biochemical marker of dehydration risk, but this was not recognised or acted up…
73y · Female·general inanition due to dysphagia on a background of multiple neurological and …
A 73-year-old woman with bipolar disorder, alcohol abuse history, and multiple medical comorbidities presented with stroke-like symptoms in March 2012. Neuroimaging was unrevealing. She was detained under the Mental Heal…
84y · Male·ischaemic heart disease on a background of advanced Lewy body dementia
An 84-year-old man with Lewy body dementia died from ischaemic heart disease while detained under a Mental Health Act order. He was admitted to hospital for management of aggressive behaviour related to his dementia. Dur…
82y · Male·bronchopneumonia
William Garnet Phillips, an 82-year-old widower with cardiac history, died from bronchopneumonia while frail and underweight (58 kg). He lived alone, was socially isolated, and refused all offers of assistance from famil…
91y · Female·kidney impairment and dehydration following thermal injury to right leg in an el…
A 91-year-old woman with cerebrovascular disease and right-sided paralysis sustained a significant second-degree burn to her lower right leg when it fell against a hydronic heater beside her bed at an aged care facility.…
77y · Female·Venlafaxine toxicity in a woman with severe renal impairment and depression
77-year-old woman admitted to psychiatric ward with severe depression and catatonic features. Despite documented severe renal impairment and dehydration on admission, no medical review occurred over the weekend prior to …
67y · Female·Lithium toxicity with chest infection and bipolar disorder; Alzheimer's disease …
Mrs Snopek, aged 67 with bipolar disorder on long-term lithium, was prescribed coversyl (an ACE inhibitor) by Dr A. in January 2008 for hypertension. This combination is contraindicated as ACE inhibitors impair renal fun…
43y · Female·Hypoxic ischaemic brain injury resulting from alcohol and sodium valproate toxic…
43-year-old woman with epilepsy and depression died from hypoxic ischaemic brain injury after ingesting 15g sodium valproate and 750ml vodka. Critical failures occurred across multiple settings: VPIC provided incomplete …
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