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Hypernatremia in critically ill patients.

Abstract：

:Hypernatremia is common in intensive care units. It has detrimental effects on various physiologic functions and was shown to be an independent risk factor for increased mortality in critically ill patients. Mechanisms of hypernatremia include sodium gain and/or loss of free water and can be discriminated by clinical assessment and urine electrolyte analysis. Because many critically ill patients have impaired levels of consciousness, their water balance can no longer be regulated by thirst and water uptake but is managed by the physician. Therefore, the intensivists should be very careful to provide the adequate sodium and water balance for them. Hypernatremia is treated by the administration of free water and/or diuretics, which promote renal excretion of sodium. The rate of correction is critical and must be adjusted to the rapidity of the development of hypernatremia.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Lindner G,Funk GC

doi

10.1016/j.jcrc.2012.05.001

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

216.e11-20

issue

2

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(12)00162-1

journal_volume

28

pub_type

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