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14 Δεκ 2021 · The therapeutic objective in treating chronic hypernatremia is to raise the serum [Na] no more than 8 to 12 mm/L during the first 24 hours and then continue with slow correction with close monitoring over the next 24 to 48 hours. See FIGURE 2 for an algorithm of the management of the hypernatremic patient.
Treatment of the hypernatremia patient in veterinary medicine can be challenging, and appropriate fluid therapy and careful monitoring is imperative. The speed of correction of hypernatremia will depend on the speed of onset of hypernatremia in the patient. Normal body sodium in both the dog and cat is approximately 140 mEq/L.
Hypernatremia is defined as a plasma or serum [Na] above the reference range and reflects the loss of water in excess of sodium, or the addition of sodium in excess of water. In healthy animals, central osmoreceptors will detect the associated increase in osmolarity and trigger water-seeking behaviors and antidiuretic hormone release.
25 Οκτ 2020 · Stable patients with mild hypernatremia may be treated as outpatient as long as they can be rechecked within 12-24 hours, they have intact thirst mechanism and they are able to consume water (i.e. they are not vomiting, ambulatory, have normal mentation);
Returning of sodium concentrations to the normal range is crucial in patient management – and needs to be carried out in a careful manner, to avoid decreasing serum osmolality too rapidly. This short podcast reviews an approach to the management of a dog with hypernatraemia, with the aim of helping avoid common pitfalls of rapid sodium ...
When evaluating hypernatraemia, it is vitally important to assess a patient’s volume status on physical examination (heart rate, pulse quality, mucous membrane colour, capillary refill time) to compose a differential diagnoses list and instigate effective treatment.
Anorexia, lethargy, vomiting, muscular weakness, behavioral changes, disorientation, ataxia, seizures, coma, and death have been identified in dogs and cats with hypernatremia and hypertonicity. Because hypernatremia develops primarily with decreased ICF, signs of ECF loss (ie, isotonic dehydration) and hypovolemia may be minimal.
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