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Uncontrolled when printedSouthern Derbyshire Shared Care Pathology Guidelines Hypernatraemia in Adults Purpose of Guideline The investigation and management of adult patients with newly diagnosed hypernatraemia. Hypernatraemia.

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Hypernatremia in the elderly is most commonly due to the combination of inadequate fluid intake and increased fluid losses.

Although hypernatremia is most often due to water loss, it can also be caused by the intake of salt without water or the administration of hypertonic sodium solutions [3]. (See 'Sodium overload' below.) Hypernatremia due to water depletion is called dehydration.

Treatment of moderate hypernatraemia due to sodium excess Aim to reduce excess sodium intake. Get expert advice, as may need hypotonic fluid (eg sodium chloride 0.45%), or dialysis if overloaded. Severe hypernatraemia (≥170 mmol/L) requires expert input.

Correcting the hypertonicity requires a careful decrease in serum sodium and plasma osmolality with the replacement of free water, either orally or parenterally. The rate of sodium correction depends on how acutely the hypernatremia developed and on the severity of symptoms.

Treatment of moderate hypernatraemia due to water deficit Replace water deficit over 48 hours in addition to daily maintenance, with IV sodium chloride 0.9% and glucose 5% (see table for rates) In addition, replace ongoing losses mL for mL (excluding urine) with IV sodium chloride 0.9%

The main symptom of hypernatremia is excessive thirst. Other symptoms are lethargy, which is extreme fatigue and lack of energy, and possibly confusion. Advanced cases may also cause muscle twitching or spasms.

Most cases of hypernatremia are mild and easily corrected by fixing dehydration. Usually, when a person starts to get dehydrated and feel thirsty, they are sensing a mild case of hypernatremia and reversing it by drinking water or an electrolyte-containing sports drink.

It is important to remember that hypernatremia should be corrected over 48 hours. Rapid correction can lead to cerebral edema and seizures.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232