Treating Severe Hyponatremia and Renal Failure with Automated Peritoneal Dialysis

Severe hyponatremia and renal failure requiring renal replacement therapy pose a therapeutic challenge. Hemodialysis to correct volume overload, azotemia, and abnormal electrolyte levels will result in rapid correction of serum sodium concentration and place the patient at risk for osmotic demyelination syndrome. We present a patient with acute kidney injury and severe hypotonic hyponatremia (serum sodium