Peer-reviewed veterinary case report
Dog with severe tremors after oral sodium phosphate treatment
By VanDerslice, Julia & Carroll, Maureen·Published in Journal of veterinary internal medicine·2024·Emergency and Critical Care Service, United States·View original on PubMed →
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Original publication title: Acute hypernatremia and hypocalcemia after oral sodium phosphate administration to a dog.
- Species:
- dog
Plain-English summary
A 15-year-old male neutered mixed breed dog started having severe tremors and confusion after taking sodium phosphate to prepare for a colonoscopy. Tests showed he had low calcium and high sodium levels in his blood. The veterinarian treated him with intravenous fluids that were low in sodium and calcium gluconate, which helped restore his electrolyte balance. Within 12 hours, the dog's neurological symptoms improved, and he returned to normal.
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Abstract
A 15-year-old male neutered mixed breed dog weighing 28 kg presented to a referral center after developing severe tremors and altered mentation. There was hypocalcemia and hypernatremia after oral administration of sodium phosphate as a bowel cleansing agent in preparation for colonoscopy. The dog was treated intravenously with low sodium fluids and calcium gluconate. Neurologic status and electrolyte derangements normalized over the next 12 hours. Oral administration of sodium phosphate appeared to cause clinical electrolyte derangements in this dog.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38205655/