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- W2040468512 abstract "1275 HISTORY - 33-year-old male triathlete presented to the medical tent after finishing an Ironman distance race. The athlete walked to the tent with assistance from the finish line and was awake and coherent. While placing the athlete on the medical cot he suddenly convulsed. The athlete was attended by nursing and medical personnel. PHYSICAL EXAMINATION - The athlete was in an acute state of convulsing activity. He was unresponsive to verbal commands. Medical pre-race information disclosed that this athlete was on Lithium medication. No other gross physical abnormalities were noted. DIFFERENTIAL DIAGNOSIS: Extremes of dehydration. Lithium medication imbalance. Severe hyponatremia with seizure activity. TEST AND RESULTS: Laboratory data was performed which demonstrated a Sodium of 123 mg/d1. Cardiac monitoring was established and was NSR. Pulse oximeter was used and oxygen saturation was greater than 98%. FINAL WORKING DIAGNOSIS: Convulsive activity from severe hyponatremia. TREATMENT: IV access was established and D5NS as well as NS fluids were administered. Airway was maintained with supplemental oxygen. Seizure activity was controlled with IV push valium. The athlete was transferred to ICU for further observation, rehydration and documentation of Lithium levels. Athlete discharged next morning with Sodium level at 135 mg/d1, awake and alert with no further seizure activity." @default.
- W2040468512 created "2016-06-24" @default.
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- W2040468512 date "1998-05-01" @default.
- W2040468512 modified "2023-10-18" @default.
- W2040468512 title "SEIZURE ACTIVITY - TRIATHLETE" @default.
- W2040468512 doi "https://doi.org/10.1097/00005768-199805001-01274" @default.
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