Acute Dysnatremias - a dangerous and overlooked clinical problem

Autor: David Joergensen, Kiarash Tazmini, Dag Jacobsen
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 27, Iss 1, Pp 1-7 (2019)
Druh dokumentu: article
ISSN: 1757-7241
DOI: 10.1186/s13049-019-0633-3
Popis: Abstract Background Dysnatremias are common electrolyte disturbances with significant morbidity and mortality. In chronic dysnatremias a slow correction rate ( 10 mmol/L/24 h). The median time of correction was 1 day in patients with hypo- and 2.5 days in patients with hypernatremia. The mortality was 7% in patients with hypo- and 29% in patients with hypernatremia. Interpretation Severe acute dysnatremias have significant mortality and require immediate treatment. A rapid correction rate may be lifesaving and is not associated with neurological complications. Chronic dysnatremias, on the other hand, are often compensated and thus less severe. In these cases a rapid correction rate may lead to severe cerebral complications.
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