* Exogenous Vasopressin-Induced Hyponatremia in Patients With Vasodilatory Shock: Two Case Reports and Literature Review.
- Vasopressin has gained wide support as an adjunct vasopressor in patients with septic shock. This agent exerts its vasoconstriction effects through smooth muscle V1 receptors and also has antidiuretic activity via renal V2 receptors. This interaction with the renal V2 receptors results in the integration of aquaporin 2 channels in the apical membrane of the renal collecting duct leading to free water reabsorption. Thus, water intoxication with subsequent hyponatremia, although rare, is a potentially serious side effect of exogenous vasopressin administration. We present 2 patients who developed hyponatremia within hours of initiation of vasopressin infusion. Extensive diuresis followed its discontinuation with subsequent normalization of serum sodium. One of the patients required the use of hypertonic saline for more rapid normalization of serum sodium due to concerns for potential seizure activity. A review of the literature relevant to the incidence of vasopressin-induced hyponatremia is provided as well as discussion on additional factors relevant to septic shock that should be considered when determining the relative risk of hyponatremia in patients receiving vasopressin.
=>出席している, そこにある, 現在の, 今の, 当面の, いあわせている, 考慮している, 現在, を人に贈る,
進呈する, を与える, を渡す, を紹介する, を公開する, を見せる, 示す, 贈り物, 【文法】現在時制の,
プレゼント, 贈る, ある, 現在形の
Overview of noun present
The noun present has 3 senses (first 2 from tagged texts)
1. (17) present, nowadays -- (the period of time that is happening now; any continuous stretch of
time including the moment of speech; "that is enough for the present"; "he lives in the present with
no thought of tomorrow")
2. (4) present -- (something presented as a gift; "his tie was a present from his wife")
3. present, present tense -- (a verb tense that expresses actions or states at the time of speaking)
Overview of verb present
The verb present has 13 senses (first 10 from tagged texts)
1. (40) show, demo, exhibit, present, demonstrate -- (give an exhibition of to an interested
audience; "She shows her dogs frequently"; "We will demo the new software in Washington")
2. (28) present, represent, lay out -- (bring forward and present to the mind; "We presented the
arguments to him"; "We cannot represent this knowledge to our formal reason")
3. (14) stage, present, represent -- (perform (a play), especially on a stage; "we are going to
stage `Othello'")
4. (13) present, submit -- (hand over formally)
5. (7) present, pose -- (introduce; "This poses an interesting question")
6. (3) award, present -- (give, especially as an honor or reward; "bestow honors and prizes at
graduation")
7. (3) give, gift, present -- (give as a present; make a gift of; "What will you give her for her
birthday?")
8. (3) deliver, present -- (deliver (a speech, oration, or idea); "The commencement speaker
presented a forceful speech that impressed the students")
9. (2) introduce, present, acquaint -- (cause to come to know personally; "permit me to acquaint you
with my son"; "introduce the new neighbors to the community")
10. (1) portray, present -- (represent abstractly, for example in a painting, drawing, or sculpture;
"The father is portrayed as a good-looking man in this painting")
11. confront, face, present -- (present somebody with something, usually to accuse or criticize; "We
confronted him with the evidence"; "He was faced with all the evidence and could no longer deny his
actions"; "An enormous dilemma faces us")
12. present -- (formally present a debutante, a representative of a country, etc.)
13. salute, present -- (recognize with a gesture prescribed by a military regulation; assume a
prescribed position; "When the officers show up, the soldiers have to salute")
Overview of adj present
The adj present has 2 senses (first 2 from tagged texts)
1. (60) present -- (temporal sense; intermediate between past and future; now existing or happening
or in consideration; "the present leader"; "articles for present use"; "the present topic"; "the
present system"; "present observations")
2. (39) present -- (being or existing in a specified place; "the murderer is present in this room";
"present at the wedding"; "present at the creation")
--- WordNet end ---