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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.
24 Αυγ 2023 · The goal of therapy is to correct both the serum sodium and the intravascular volume. Fluids should be administered orally or via a feeding tube whenever possible. In patients with severe dehydration or shock, the initial step is fluid resuscitation with isotonic fluids before free water correction.
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.
Management of hypernatremia Basic principles- 1. Identify and treat the underlying cause 2. 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).
hypernatremia, and might also help to show what has caused it. What treatments are available? Treatment for hypernatremia is aimed at treating what is causing the problem. For example, that might mean: • Stopping or reducing any medications at are causing hypernatremia
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...
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.
