Hyponatremia and hypernatremia - A systematic approach to causes and their correction

被引：30

作者：

Fall, PJ

机构：

[1] Med Coll Georgia, Sch Med, Nephrol Sect, Augusta, GA 30912 USA

[2] Vet Affairs Med Ctr, Augusta, GA USA

来源：

POSTGRADUATE MEDICINE | 2000年 / 107卷 / 05期

关键词：

D O I：

10.3810/pgm.2000.5.1.1068

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Disorders of sodium and water metabolism are common in hospitalized patients and are occasionally encountered in outpatients. Both hyponatremia and hypernatremia can cause substantial morbidity and mortality, and ironically, incorrect treatment can add to the problem. In this article, Dr Fall outlines a general approach to evaluation and management of both conditions, with recommendations on safe and effective therapy.

引用

收藏

页码：75 / 82

页数：8

相关论文

共 20 条

[1] PATHOGENESIS OF HYPONATREMIC ENCEPHALOPATHY CURRENT CONCEPTS [J].

ARIEFF, AI ;

AYUS, JC .

CHEST, 1993, 103 (02) :607-610

[2] NEUROLOGICAL MANIFESTATIONS AND MORBIDITY OF HYPONATREMIA - CORRELATION WITH BRAIN WATER AND ELECTROLYTES [J].

ARIEFF, AI ;

LLACH, F ;

MASSRY, SG .

MEDICINE, 1976, 55 (02) :121-129

[3]

Ayus JC, 1996, SEMIN NEPHROL, V16, P277

[4] POSTOPERATIVE HYPONATREMIC ENCEPHALOPATHY IN MENSTRUANT WOMEN [J].

AYUS, JC ;

WHEELER, JM ;

ARIEFF, AI .

ANNALS OF INTERNAL MEDICINE, 1992, 117 (11) :891-897

[5] CHANGING CONCEPTS IN TREATMENT OF SEVERE SYMPTOMATIC HYPONATREMIA - RAPID CORRECTION AND POSSIBLE RELATION TO CENTRAL PONTINE MYELINOLYSIS [J].

AYUS, JC ;

KROTHAPALLI, RK ;

ARIEFF, AI .

AMERICAN JOURNAL OF MEDICINE, 1985, 78 (06) :897-902

[6] TREATING HYPONATREMIA - DAMNED IF WE DO AND DAMNED IF WE DONT [J].

BERL, T .

KIDNEY INTERNATIONAL, 1990, 37 (03) :1006-1018

[7]

BRENNAN S, 1990, J CRIT ILLNESS, V5, P330

[8] CLINICAL-ASSESSMENT OF EXTRACELLULAR FLUID VOLUME IN HYPONATREMIA [J].

CHUNG, HM ;

KLUGE, R ;

SCHRIER, RW ;

ANDERSON, RJ .

AMERICAN JOURNAL OF MEDICINE, 1987, 83 (05) :905-908

[9] THIAZIDE-INDUCED HYPONATREMIA - REPRODUCIBILITY BY SINGLE DOSE RECHALLENGE AND AN ANALYSIS OF PATHOGENESIS [J].

FRIEDMAN, E ;

SHADEL, M ;

HALKIN, H ;

FARFEL, Z .

ANNALS OF INTERNAL MEDICINE, 1989, 110 (01) :24-30

[10]

Gross P, 1998, KIDNEY INT, pS6