Αποτελέσματα Αναζήτησης
17 Μαΐ 2024 · Less commonly, hypernatremia results from the administration of salt in excess of water, as can occur with hypertonic sodium bicarbonate therapy during a cardiac arrest, inadvertent intravenous administration of hypertonic saline during therapeutic abortion, or salt ingestion.
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.
Fluids (dioralyte, water or diluted feeds-based on etiology) can be administered orally. However it is advisable to use IV route if HRN is severe or GI intake or absorption is disturbed (e.g. vomiting or diarrhea)
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.
In severe hypernatremia or in patients unable to drink because of continued vomiting or mental status changes, IV hydration is preferred. The type of IV fluid depends upon the type of hypernatremia. Hypernatremia that has occurred within the last 24 hours should be corrected over the next 24 hours.
Mild cases of hypernatraemia - replace missing body water with oral water (not electrolyte drinks) or glucose 5% IV. Severe cases of hypernatraemia (e.g. Na >170mmol/L) – give glucose 5% IV unless the patient is volume depleted and hypotensive, in which case give sodium chloride 0.9% IV.
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.
