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Patient problems A 49-year-old male admitted into the disaster department with a complaint of listlessness and severe hyponatremia, with subsequent ODS supervening on initial attempts at modification. Diagnosis fast boost in serum sodium concentration (121 mmol/L in 8 hours from a nadir of 101 mmol/L), concomitant deterioration in patient's conscious degree support the diagnosis of ODS. Intervention Concomitant administration of 5% dextrose water with desmopressin with a therapeutic objective of