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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).
Management. Mild hypernatraemia (Na 145 – 150 mmol / L) Assess clinical hydration status, and urine output. Check U&Es, serum glucose, serum osmolality and urine osmolality. Calculate water deficit to assess severity of water depletion* Ensure adequate IV access and treat cause of hypernatraemia.
We summarize the eight diagnostic steps of the traditional approach and introduce new biomarkers: exclude pseudohypernatremia, confirm glucose-corrected sodium concentrations, determine the extracellular volume status, measure urine sodium levels, measure urine volume and osmolality, check ongoing urinary electrolyte free water clearance, determ...
29 Δεκ 2022 · Moreover, we suggest six steps to manage hypernatremia by replacing water deficits, ongoing water losses, and insensible water losses: identify underlying causes, distinguish between acute and...
24 Αυγ 2023 · 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.
27 Ιαν 2016 · Diagnostic approach to hypernatremia is based on the duration of hypernatremia, identification of the cause of fluid loss, assessment of volume status, and urine osmolarity.
In general, hyponatremia is treated with fluid restriction (in the setting of euvolemia), isotonic saline (in hypovolemia), and diuresis (in hypervolemia). A combination of these therapies may...
