Medicine for hypernatremia - Doctor answers

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What does hypernatremia mean?

What does hypernatremia mean?

See below: Too much sodium and not enough water. It is common for elder population to become dehydration due to dementia, not enough water while on tube feeding, infection such as pneumonia for example, and malnutrition. ...Read more

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Hypernatremia (Definition)

A high concentration of ...Read more


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What are some symptoms of hypernatremia?

What are some symptoms of hypernatremia?

Thirst and Others: Early symptoms of hypernatremia include thirst, dehydration, lethargy, irritability, disorientation, confusion, and weakness. However, severe symptoms include tremor, rigidity, seizures, coma, and death. The neurological symptoms are associated with rapid changes in the serum sodium. Slower changes are better tolerated. ...Read more

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I have been diagnosed with hypernatremia. How do you treat this?

I have been diagnosed with hypernatremia. How do you treat this?

Increase water intal (cromolyn): Hypernatremia means your body has less water. So, either you are not drinking enough water or losing lot of water from your body. You need to undergo blood and urine test to find the cause. The first step is to drink enough free water and then treat the cause. ...Read more

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Hypernatremia --what is the treatment?

Hypernatremia --what is the treatment?

Water: High sodium is usually the result of water loss. This happens when a person loses their sense of thirst or is unable to obtain water when thirsty.

Alternatively high na may be from infusion or ingestion of excess salt. The treatment may require water and diuretics, dialysis could be useful in some cases. This is the rarer of the two causes. If conscious these patients are very thirsty. ...Read more

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How do you prevent hypernatremia?

How do you prevent hypernatremia?

Drink water: Most patients who develop hypernatremia are not able to get enough water. This can occur in setting of environmental exposure, or in healthcare settings when patients have dementia or stroke. The latter two conditions can diminish the thirst reflex which is normally very powerful. Many nursing home patients also develop this as they are not able to get water to drink and rely of staff to provide. ...Read more

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Why do elderly people often get hypernatremia?

Why do elderly people often get hypernatremia?

Water depletion: Great question, one that many in the med field don't quite understand. Hypernatremia (high blood sodium level) is a water dehydration state. Hyponatremia is a water excess ('intoxicated' state--it takes a mental disorder to drink so much water that it lowers serum sodium). When elderly don't drink enough water, are on a diuretic, gets a fever or uti, they easily get water depleted, hypernatremic. ...Read more

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How does hyperventilation cause hypernatremia?

How does hyperventilation cause hypernatremia?

It doesn't: Plasma sodium levels are influenced by fluid volume not respiratory rate. ...Read more

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Can fludrocortisone 0.1mg cause Hypernatremia?

Hypernatremia: Yes, all corticosteroids may cause hypernatremia. This is a known possible side-effect of Fludrocortisone. It does not mean that it is the only possibly cause in a patient who is using this medication. Investigations by a doctor needs to be done to exclude other causes. ...Read more

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Can a person have both hypernatremia and hyperkalemia?

Can a person have both hypernatremia and hyperkalemia?

Possibly yes: Dehydration is the most common cause for both. Also certain medication may play this role. Your physician would have to look the whole picture on why this person developed both. ...Read more

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Why would a person with hypernatremia be confused and disoriented?

Why would a person with hypernatremia be confused and disoriented?

Brain is messed up: Hypernatremia and hyponatremia may lead to delirium or confusion, . Due to indirect effects on the central nervous system. Severe deficits of the serum sodium level cause the brain to shrink or swell and the nerve cells of the brain do not handle this insult well. ...Read more

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Is it possible for hyperkalemia and hypernatremia occur at the same time?

Possibly yes: Dehydration is the most common cause for both. Also certain medication may play this role. Your physician would have to look the whole picture on why this person developed both. ...Read more

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When treating hypernatremia why is normal saline preferred over ½ normal saline?

When treating hypernatremia why is normal saline preferred over ½ normal saline?

IV fluids: One of the reasons people who are dehydrated (d) receive Normal Saline (ns) is that they are hypotensive from whatever caused their d. If they are not hypotensive it is more prudent that they receive 1/2 saline to give them fluid in excess of salt. An alternate IV therapy for d is giving those patients 5% dextrose which delivers no sodium to them, if they are not hypotensive. ...Read more

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(1) Can hypernatremia be live-threatening?, and (2) Can hypernatremia be an underlying cause of delirium?

(1) Can hypernatremia be live-threatening?, and (2) Can hypernatremia be an underlying cause of delirium?

Yes and no: Yes, hypernatremia if severe enough, can be life threatening, although this is rare. Hypernatremia itself is unlikely to cause delirium, (it can cause a coma, but not delirium), however the underlying cause of the hypernatremia can cause delirium. ...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 are the effects of hypo- and hypernatremia on an ECG?

What are the effects of hypo- and hypernatremia on an ECG?

Minimal: High or low sodium (hyper- or hyponatremia) alone usually has no significant effect on the ECG. However, these electrolyte abnormalities are frequently associated with abnormal levels of potassium, which can cause major ECG changes and rhythm disturbances. The causes of high or low sodium levels need to be determined. ...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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Can hyperkalemia and hypernatremia occur at the same time from IV fluid?

Possibly: Electrolyte abnormalities are common in hospitalized patients and can result from multiple factors. They often result from a patient's underlying condition. Intravenous fluid composition could also play a role. You should discuss with your doctor for specific answers in a specific situation. ...Read more

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Is a sodium level of 146 mmol/L technically classified as hypernatremia?

Is a sodium level of 146 mmol/L technically classified as hypernatremia?

Perhaps: This is technically hypernatremia. This is not considered worrisome. It is starting to be an area that is considered important to watch. If it is much higher such as 150 then it is important to wonder as the cause and be treated.
This may come from excessive heat exposure, inadequate intake of water, diuretics or kidney problems See your doctor. ...Read more

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If someone has renal failure, how can they be treated for hypernatremia?

If someone has renal failure, how can they be treated for hypernatremia?

Hypernatremia: Reduce salt intake and balance that against increasing water intake. The caveat here is where is the patient in the continuum from end-stage renal disease being managed medically to being on dialysis? Each scenario has different answers to reducing sodium in the blood. Also important to know is what caused the kidney failure in the first place because treatment has to be tailored to the disease. ...Read more

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