Current prescriptions for the correction of hyponatraemia and hypernatraemia: are they too simple?

被引：43

作者：

Barsoum, NR ^{[1
]}

Levine, BS ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Sch Med, Dept Med, Neprol Sect,VAGLAHS,W Los Angeles, Los Angeles, CA 90073 USA

来源：

NEPHROLOGY DIALYSIS TRANSPLANTATION | 2002年 / 17卷 / 07期

关键词：

fluid prescription; formula; hypernatraemia; hyponatraemia;

D O I：

10.1093/ndt/17.7.1176

中图分类号：

R3 [基础医学]; R4 [临床医学];

学科分类号：

1001 [基础医学]; 1002 [临床医学]; 100602 [中西医结合临床];

摘要：

Hypo- and hypernatraemic (dysnatraemic) disorders are among the most common electrolyte disorders encountered by primary care providers and nephrologists, They represent a diagnostic and therapeutic challenge. and inappropriate management can result in serious sequelae. Several formulas addressing the fluid prescription for dysnatraemic patients have been introduced. Many authors stress the importance of considering output as well as input in formulating a treatment plan for the dysnatraemic patient. However, currently available formulas fail to account for ongoing renal and extrarenal fluid and electrolyte losses, We propose a novel, versatile formula based on established principles governing the distribution of Na+ in body fluids. The formula can be used in a simplified form for a quick but accurate estimate of the change in serum [Na+] for any infused fluid.

引用

页码：1176 / 1180

页数：5

共 11 条

[1]

Aiding fluid prescription for the dysnatremias [J].