UNASSIGNED: Introduction. @entity6659 ( @entity2010 ) can be challenging from changes in volume status and serum @entity1372 levels. We report a case successfully using a dilute vasopressin bolus protocol in managing @entity1457 in acute, postoperative, central @entity2010 . Case Report. @entity1 presented after bifrontal decompressive craniotomy for severe @entity131 . He developed increased urine output resulting in @entity3485 and @entity3489 . He was resuscitated with intravenous fluids including a dilute vasopressin bolus protocol. This protocol consisted of 1 unit of vasopressin in 1 liter of 0.45% normal saline. This protocol was given in boluses based on the formula: urine output minus one hundred. Initial serum @entity1372 was 148   mmol/L, and one-hour urine output was 1 liter. After 48 hours, he transitioned to @entity7580 ( @entity7062 ). Pre- @entity7062 serum @entity1372 was 149   mmol/L and one-hour urine output 320   cc. Comparing the bolus protocol to the @entity7062 protocol, the average @entity1372 was 143.8    3.2 and 149.6    3.2   mmol/L (p = 0.0001), average urine output was 433.2    354.4 and 422.3    276.0   cc/hr (p = 0.90), and average specific gravity was 1.019    0.009 and 1.016    0.01 (p = 0.42), respectively. Conclusion. A protocol using dilute vasopressin bolus can be an alternative for managing acute, central @entity2010 postoperatively, particularly in setting of @entity1457 resulting in a consistent control of serum @entity1372 .

Vasopressin Bolus Protocol Compared to @entity7062 ( @entity7062 ) for Managing Acute, Postoperative Central XXXX and @entity3485 Shock.

@entity1 :: ('9606', 'Species') :: ['Patient'] @entity131 :: ('MESH:D001930', 'Disease') :: ['traumatic brain injury'] @entity7062 :: ('MESH:D003894', 'Chemical') :: ['DDAVP'] @entity7580 :: ('CHEBI:4450', 'Chemical') :: ['1-desamino-8-D-arginine vasopressin'] @entity1457 :: ('MESH:D012769', 'Disease') :: ['hypovolemic shock'] @entity1372 :: ('MESH:D012964', 'Chemical') :: ['sodium'] @entity3485 :: ('MESH:D020896', 'Disease') :: ['hypovolemia'] @entity6659 :: ('MESH:D020790', 'Disease') :: ['Management of postoperative central diabetes insipidus'] @entity3489 :: ('MESH:D006955', 'Disease') :: ['hypernatremia'] @entity2010 :: ('MESH:D003919', 'Disease') :: ['DI']
@entity2010 :: (MESH:D003919,Disease) :: ['Diabetes Insipidus']
