Αποτελέσματα Αναζήτησης
17 Μαΐ 2024 · This topic will focus on the treatment of hypernatremia induced by water loss, which is the most common cause. The treatment of hypernatremia in patients with impaired thirst, with or without arginine vasopressin disorders, and with primary sodium overload will also be reviewed.
Basic principles. HR should be corrected slowly (particularly if HR is of unknown duration or chronic) as rapid correction can induce cerebral edema, seizures, permanent neurological damage and death (rate of correction of Na should be <0.5 mmol/l/hour or <12 mmol/l/day).
24 Αυγ 2023 · Objectives: Review the causes of hypernatremia. Describe the evaluation of a patient with hypernatremia. Summarize the treatment of hypernatremia. Explain the importance of improving care coordination among interprofessional team members to improve outcomes for patients affected by hypernatremia. Access free multiple choice questions on this topic.
The review presents the main pathogenetic mechanisms of hypernatremia, provides specific directions for the evaluation of patients with increased sodium levels and describes a detailed algorithm for the proper correction of hypernatremia.
25 Οκτ 2023 · Treatment of hypernatraemia is directed at addressing the underlying cause, as well as replacing free water deficit and ongoing losses while monitoring serum sodium concentration. It is important not to correct the serum sodium concentration too rapidly in cases of chronic hypernatraemia.
• Ensure adequate IV access and treat cause of hypernatraemia • If hypovolaemia present, give normal saline as fluid replacement • If/once ECFV is normal, give 5% dextrose or dextrose saline • Reassess clinically and repeat sodium and serum osmolality in 8 hours
Moreover, we suggest six steps to manage hypernatremia by replacing water deficits, ongoing water losses, and insen-sible water losses: identify underlying causes, distinguish between acute and chronic hypernatremia, determine the amount and rate of water administration, select the type of replacement solution, adjust the treatment schedule, and...
