Sir, i am giving a personal experience of having a case of hyponatremia induced by a phosphate enema. 7 year old girl was given 75 ml of phosphate enema for evacuating the hard impacted stools. within 5 minutes she started to vomit and became very lethargic . sodium was 122,and pottassium 2.9. was managed with 500ml of normal saline given over 1hr,ORS by mouth.after the infusion sodium was 132 and K+ 3.4 and she was symptomatically much better my querries are 1,is this complication following phosphate enema, common? 2,Was the dose used too high ( 75 ml ,weight was 25.7 kg) 3,was the management right?should i have done anything more? 4.what is the most safe and effective enema in children. please give your valuable suggestions thanking you, yours sincerely Dr.manoj chandran
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