Case Report
Low-Dose Tolvaptan for the Treatment of Dilutional Hyponatremia in Cirrhosis: A Case Report and Literature Review
Table 1
Serum sodium concentrations and urine volumes of the present patient under the treatment of different doses of tolvaptan.
| Data (day) | Baseline* | 1 | 2 | 3 | 4 | 5 | 8 | 11 | 14 | 17 | 20 | 30 | 60 | 120 | 1 (yr) |
| Dosage of tolvaptan (mg) | NA | 15 | 15 | 7.5 | 7.5 | 5 | 5 | 5 | 5 | 5 | 5 | | NA | NA | NA | Urine volume (mL) | 2050 | 4400 | 6100 | 4050 | 4200 | 3100 | 2750 | 3000 | 3550 | 3800 | 2750 | 4300 | 4000 | NA | NA | Serum sodium (mmol/L) | 132 | 117 | 123 | 130 | 130 | 128 | NA | 128 | NA | 127 | NA | 129 | 135 | NA | 138 | Total bilirubin (μmol/L) | 317 | 244 | NA | 246 | NA | 227 | NA | 196 | NA | 199 | NA | 157 | 92 | 38 | 35 | ALT (U/L) | 52 | 51 | NA | NA | 44 | NA | NA | 34 | 30 | 28 | NA | 33 | 17 | 20 | 17 | PT (s) | 27.3 | 23.2 | NA | NA | 25 | NA | NA | 24.1 | 24.9 | 23.8 | NA | 21.8 | 22.4 | 19.6 | 14.2 | BP (mmHg) | 124/69 | 114/64 | NA | NA | NA | NA | 107/62 | 104/72 | 114/68 | NA | 122/71 | 115/65 | 127/70 | NA | 125/65 | Body weight (Kg) | 76 | 67.5 | 65 | 66.5 | 66.5 | 69 | NA | NA | 65.5 | NA | 61 | 61.5 | NA | NA | 71 | Child-Pugh score | 14 | 14 | NA | NA | NA | NA | NA | NA | NA | NA | NA | 11 | 10 | 7 | 5 |
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Baseline: the data was from the first day when the patient was admitted.
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