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Doctor insights on: Hypovolemic Hyponatremia

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Can hypovolemia cause hypovolemic shock?

Can hypovolemia cause hypovolemic shock?

Hypovolemic shock: The answer to your question is "yes". In severe cases, vigorous IV hydration will be needed to restore the volume of fluid and blood in the blood vessels to increase blood pressure and resolve dehydrartion. ...Read more

Dr. Michael Kleerekoper
4 doctors shared insights

Hyponatremia (Definition)

Normal sodium range from 135 to 145. Low sodium (hyponatremia) is less than 135. Some may have no symptoms at slight decrease in sodium level especially if the level dropped slowly. Rapid decrease or large drop in levels can cause confusion, seizures, coma and even death. Labs should always be rechecked to ...Read more


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What is euvolemic hyponatremia?

What is euvolemic hyponatremia?

Low sodium: Euvolemia means you are neither fluid overloaded nor dehydrated. Hypontremia is a difficult medical problem. Some people develop low sodium in the blood as the kidneys are absorbing more water than they should. There are several tests to be done, to figure out the reason. You must contact your doctor for futher advice and tests. ...Read more

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How's hyperosmolar hyperglycemic nonketotic coma treated?

How's hyperosmolar hyperglycemic nonketotic coma treated?

Insulin and fluid: Insulin and saline are administered intravenously and other medications added depending on the clinical findings and lab tests. ...Read more

Dr. Alan Ali Dr. Ali
3 doctors agreed:
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How does ADH (vasopressin) cause hyponatremia?

Dr. Alan Ali Dr. Ali
3 doctors agreed:
How does ADH (vasopressin) cause hyponatremia?

ADH (vasopressin): Antidiuretic hormone prevents diuresis which causes fluid retention which causes dilution of electrolytes, including sodium, hence low level. ...Read more

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Whats exertional hyponatremia?

Whats exertional hyponatremia?

Excess water: Exertional hyponatremia generally occurs when a person loses excessive amounts of both water and electrolytes (usually through profuse sweating during heavy exercise or warm temperatures). Instead of replacing both, the individual only replaces the water component resulting in relatively excess water in the body. This may result in impairment in brain function due to changes in brain cells. ...Read more

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Can low potassium levels cause orthostatic hypotension?

Can low potassium levels cause orthostatic hypotension?

It's possible.: Low potassium can cause the heart to have various rhythm changes. It's possible that those changes can result in ortho static hypotension. You should atleast get an ECG. ...Read more

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Does respiratory alkalosis cause hyponatremia?

Does respiratory alkalosis cause hyponatremia?

Hyponatremia: Many pulmonary illnesses may cause a low sodium level, via induction of inappropriate SIADH. But respiratory alkalosis, by itself, should not lower the sodium level below the normal range. Often, people with respiratory alkalosis may have a lower serum chloride level, to balance for additional bicarbonate (sodium bicarbonate) ions. Hope that helps! ...Read more

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What causes hyponatremia and hyperkalemia?

What causes hyponatremia and hyperkalemia?

Hyponatremia: The answers to your questions cannot fit in allotted space. For the causes of hyponatremia go to this link: http://www.Mayoclinic.Org/diseases-conditions/hyponatremia/basics/causes/con-20031445 for the causes of hyperkalemia go to this link: http://www.Mayoclinic.Org/symptoms/hyperkalemia/basics/causes/sym-20050776 good luck. ...Read more

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Can diabetes cause hypovolemic shock?

Can diabetes  cause hypovolemic shock?

Technically no: Hypovolemic shock is loss of blood volume causing organ damage. Diabetes can do something similar if blood sugar elevates. High blood sugar sets up an osmotic gradient that sucks fluid from the body tissues into the blood stream. This causes severe dehydration and can cause significant damage to the body. The damage can be similar to hypovolemic shock even though blood volume isnt lost. ...Read more

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What causes hypovolemic shock?

What causes hypovolemic shock?

Massive fluid losses: This can be either from excessive diarrhea, blood loss, or sometimes from diuretic use. There may be many other causes but usually fluid losses in the range of 4-5 liters are required. ...Read more

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Why does respiratory alkalosis cause hypokalemia while metabolic acidosis causes hyperkalemia?

Why does respiratory alkalosis cause hypokalemia while metabolic acidosis causes hyperkalemia?

K and alkalosis acid: Blood K is sensitive to blood pH.( hydrogen ion concentration). When H gets too high (acidosis) it moves into cells to protect from death from too much acid.. As H+ moves into cells a + ion must move out. This is usually K+. Thus hyperK. When H+ gets too low (alkalosis) in blood H+ moves from cell to blood to prevent death from low H+.. As H+ moves out of cell K+ moves in. Thus blood K goes down. ...Read more

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Does cardiac arrest cause hypernatremia?

Does cardiac arrest cause hypernatremia?

Not directly: Cardiac arrest by itself would not cause hypernatremia but if the patient has become dehydrated during the events that led to the cardiac arrest, that may explain it. ...Read more

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Why can hypovolemic shock lead to renal failure?

Why can hypovolemic shock lead to renal failure?

Shock: Hypovelemic shock can cause renal failure from either the body conserving free water due to severe dehydration and producing a low volume of highly concentrated urine or from a lack of blood flow and oxygen to the kidneys producing intrinsic kidney injury and renal failure. ...Read more

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Can malnutrition cause orthostatic hypotension?

Can malnutrition cause orthostatic hypotension?

Yes: Protien and Albumin levels are markers of nutrition . If these are low pts are diagnosed with protien calorie malnutrition.Prtiens help hold the fliuds in the blood vessesls. When these are low the fliud escapes in to the tissues and cause orthostatic symtoms.Even tho the pt may be swollen the intra-vascular volume is low and water pills mays make things worse. ...Read more

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How is a hyperosmolar hyperglycemic nonketotic coma treated?

How is a hyperosmolar hyperglycemic nonketotic coma treated?

Coma: It should be treated in an intensive care unit (ICU) with close monitoring of the blood glucose and other electrolytes (salts) and treatment to slowly decrease the blood glucose. ...Read more

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Will hypovolemia cause atrial fibrillation?

Will hypovolemia cause atrial fibrillation?

It can: The stress of hypovolemia can trigger reflex tachycardia and atrial fibrillation, especially in a diseased heart. ...Read more

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Does dialysis cause dehydration?

Does dialysis cause dehydration?

It can: Dialysis serves two functions. One is to remove some of the toxins in the blood that are no longer able to be removed by the kidneys due to kidney failure. The other is to remove fluid that has accumulated due to the diseased kidneys. If the dialysis prescription is incorrect in relation to the patient's "optimal" or dry weight, too much fluid can be removed and the person can become dehydrated. ...Read more

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What's hyponatremia about?

What's hyponatremia about?

See below: Hyponatremia or low sodium level has many causes.Low levels may be asymptomatic or accompanied by non specific symptoms like generalized weakness, and changes in mentation and cognitive function and in severe or rapid lowering of sodium cause seizures. ...Read more

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What causes hyponatremia in summer?

What causes hyponatremia in summer?

Too much water: Hyponatremia is a disorder of water balance. In the summer as you describe it would because most likely by in excess of water ingestion, or dehydration overall. Excess water consumption can actually be dangerous, and there have been several deaths in marathon runners from drinking too much water. ...Read more

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What is clinically-induced hyponatremia?

What is clinically-induced hyponatremia?

Please clarify: Hi. We do not induce hyponatremia, we treat it. I don't know what you mean by "clinically-induced" hyponatremia. The causes of hyponatremia, and the approach to treating it, depend on whether the circulating blood volume is low, normal, or high. Please clarify your situation with a little information (volume status, heart status, cancer, etc). Good luck! ...Read more

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What is clinically-induced hyponatremia?

What is clinically-induced hyponatremia?

Hyponatremia: There are many causes of hyponatremia and the diagnosis should have been made at your last doctor visit. Depending on what your doctor has found taking a history, doing a physical exam, and ordering labs, he/she will refer you to the most appropriate specialist. ...Read more

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Does 'asymptomatic hyponatremia' exist?

Does 'asymptomatic hyponatremia' exist?

Yes: This is explained in my prior answer on this topic, but the summary is that if the hyponatremia occurs slowly, it , ay be entirely a symptomatic, and found simply as a laboratory finding. Still, the cause should be sought. ...Read more

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What causes hyponatremia and hyperkalemia?

Hyponatremia: The answers to your questions cannot fit in allotted space. For the causes of hyponatremia go to this link: http://www.Mayoclinic.Org/diseases-conditions/hyponatremia/basics/causes/con-20031445 for the causes of hyperkalemia go to this link: http://www.Mayoclinic.Org/symptoms/hyperkalemia/basics/causes/sym-20050776 good luck. ...Read more

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Is it possible to get hyponatremia from dehydration?

Is it possible to get hyponatremia from dehydration?

Definitely: Hyponatremia means you have a low sodium level. One way is through dehydration. Dehydration causes hyponatremia usually when a patient is taking a diuretic like hctz (hydrochlorothiazide) or lasix. In this situation, a patient urinates out much more sodium than water. Once this excess sodium is released and the patient's bloodwork is check, there will be much more water than sodium and the pt has hyponatremia. ...Read more

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What are the effects of hypernatremia and hyponatremia?

What are the effects of hypernatremia and hyponatremia?

Big topic: Hi. For hypernatremia (hi Na) the body is always hypovolemic and dehydrated. This can result in organ hypoperfusion and tissue damage. For hyponatremia (lo Na), volume status could be low, normal, or high, and needs to be assessed. Lo Na should not be completely normalized rapidly because of possible brain damage due to osmotic shifts (the pons is a classically described site). Need more room! ;-) ...Read more

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What is the difference between hyponatremia and hypernatremia?

What is the difference between hyponatremia and hypernatremia?

High/Low Sodium: Hyponatremia means an individual has too little sodium in thier body. Hypernatremia means they have too much sodium in their body. Either condition can be dangerous to an individual if left untreated. ...Read more

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What is the most common etiology of hyponatremia once you have ruled out medication and fluid overload?

Kidney disease: If you don't have too much water, and your salt intake is adequate (you only need 100 mg of sodium per day, average american diet is 3000-10, 000 mg per day), then evaluate the kidneys. Sounds like they are leaking sodium. ...Read more

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What is hyponatremia?

What is hyponatremia?

Low sodium in blood: Having low sodium ( na) levels in blood is called hyponatremia , usually seen in hospital patients caused by prolonged IV fluid administration , certain tumors use of diuretics etc. ...Read more

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Can you explain hyponatremia?

Low Sodium in Blood: Although the term hyponatremia means "low sodium in blood", it is caused by abnormal handling of water by the kidneys. Reabsorption of water in the kidneys rely on a hormone called ADH (vasopressin) produced in the brain and there are instances where a high concentration is secreted either appropriately (e.g. severe volume contraction) or inapproprately (e.g. medication causing SIADH (vasopressin)). ...Read more

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Whats exertional hyponatremia?

Excess water: Exertional hyponatremia generally occurs when a person loses excessive amounts of both water and electrolytes (usually through profuse sweating during heavy exercise or warm temperatures). Instead of replacing both, the individual only replaces the water component resulting in relatively excess water in the body. This may result in impairment in brain function due to changes in brain cells. ...Read more

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How do you manage hyponatremia?

How do you manage hyponatremia?

Depends: Hi. Hyponatremia (lo Na) can be seen with normal, low, or high circulating blood volume. How it is treated depends on the clinical setting (blood loss/hypovolemia, congestive heart failure, normal blood vol.). If you can specify (e.g., CHF, SIADH, etc), we could be of greater assistance. The standard for SIADH is fluid restriction (sucks) or more recently, a vaptan drug. Good luck. ...Read more

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What is euvolemic hyponatremia?

Low sodium: Euvolemia means you are neither fluid overloaded nor dehydrated. Hypontremia is a difficult medical problem. Some people develop low sodium in the blood as the kidneys are absorbing more water than they should. There are several tests to be done, to figure out the reason. You must contact your doctor for futher advice and tests. ...Read more

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Acute hyponatremia is caused by?

Acute hyponatremia is caused by?

excess water: The inability of the body to lose excess water is the leading cause. Low na is a serious condition which requires investigation and treatment. ...Read more

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Who is most at risk for hyponatremia?

Who is most at risk for hyponatremia?

Elderly and children: Hyponatremia or low salt level in the blood can cause confusion among other problems. Everyone whose blood sodium drops low enough ( especially if a drastic shift) will be symptomatic but the elderly and young children are most vulnerable both to having the condition and being symptomatic. ...Read more

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How much time does hyponatremia last?

How much time does hyponatremia last?

Hyponatremia time: Hyponatremia (H) lasts as long as it is not treated. If one has H due to sodium (S) loss due to diuretics, unless the diuretics are stopped and more S is given to the patient, the S will not improve. If the H gets worse, then the patient may have a seizure and/or die. H can be a serious illness is therapy is started early and appropriately. ...Read more

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What other conditions may cause hyponatremia?

Los serum sodium: Many conditions can cause hyponatremia (h). Some are, antidepressants, diuretics, cirrhosis of the liver, fluid retention seen in kidney and congestive heart failure, syndrome of inappropriate ADH (vasopressin) secretion addison's disease. Vomiting and too much water intake. H can be a life threatening condition if the sodium gets too low. Go see a doctor to find out the cause and the treatment of h. ...Read more

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How about the use of tolvapta in hyponatremia?

How about the use of tolvapta in hyponatremia?

Tolvaptan: Tolvaptan can be used in treating euvolemic or hypervolemic hyponatremia and it may provide some benefit in that fluid restriction can be eased. However, the high cost and the concern for liver toxicity limit its widespread use. Also it should not be used for more than 30 days to minimize the risk of liver toxicity. ...Read more

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