2 doctors weighed in:
If someone has renal failure, how can they be treated for hypernatremia?
2 doctors weighed in

Dr. Fred McCurdy
Pediatrics - Nephrology & Dialysis
In brief: 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.

In brief: 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.
Dr. Fred McCurdy
Dr. Fred McCurdy
Thank
Dr. Pedro Hernandez
Internal Medicine - Geriatrics
In brief: With fluids
Patients that are dehydrated could present with both, the numbers of BUN and creatinine and the sodium level elevated.
Drs call any increase in BUN and creatinine as renal failure which could be of recent origen or chronic (more insidious onset). Some patients have chronic renal insufficiency and suddenly get worst due to dehydration. Treatment is intravenous fluids first.

In brief: With fluids
Patients that are dehydrated could present with both, the numbers of BUN and creatinine and the sodium level elevated.
Drs call any increase in BUN and creatinine as renal failure which could be of recent origen or chronic (more insidious onset). Some patients have chronic renal insufficiency and suddenly get worst due to dehydration. Treatment is intravenous fluids first.
Dr. Pedro Hernandez
Dr. Pedro Hernandez
Thank
Get help from a real doctor now
Dr. Peter Kurzweil
Board Certified, Internal Medicine
46 years in practice
16M people helped
Continue
108,000 doctors available
Read more answers from doctors