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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.
If a volume deficit and hypernatremia are present, intravascular volume should be restored with isotonic sodium chloride prior to free-water administration. Estimation of the replacement...
21 Μαρ 2018 · Healthcare-acquired hypernatremia (serum sodium >145 mEq/dL) is common among critically ill and other hospitalized patients and is usually treated with hypotonic fluid and/or diuretics to correct a “free water deficit.”
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.
5 Ιουλ 2024 · The cornerstone of hypernatremia treatment is free water replacement. There are two general strategies to achieve this: Ad librium strategy: For alert patients with mild-moderate hypernatremia who are thirsty and able to drink, the best treatment is to simply provide them with free access to water. This is easy and effective.
Treatment |. Key Points. Hypernatremia is a serum sodium concentration > (See also Water and Sodium Balance and Neonatal Hypernatremia.) Etiology of Hypernatremia. Hypernatremia reflects a deficit of total body water (TBW) relative to total body sodium content.
