Hypernatremia Complicating Sodium Sulfate Therapy for Hypercalcemic Crisis

EMERGENCY therapy for the preservation of life is occasionally required in primary hyperpara-thyroidism when acute symptomatic hypercaleemi'a ensues.1 Therapeutic approaches suggested for use in the treatment of hypercalcemic crisis include emergency parathyroidectomy, hemodialysis,2 cortico-steroid administration,3 intravenously administered sodium ethylene diamine tetra-acetate (EDTA),4 inorganic phosphate,5 sodium citrate,6 sodium chloride and sodium sulfate.7 The purpose of this paper is to record the occurrence of hypematremia developing in the course of therapy of hypercalcemic crisis with sodium sulfate in a patient with a minimally elevated blood urea nitrogen.Case ReportL.S. (904965). a 73-year-old Negro woman, was admitted to the New York Hospital . . .