• Ugeskrift for laeger · Sep 2014

    Review

    [Prevention of hospital-acquired hyponatremia.]

    • Mathilde Lunøe and Christian Overgaard-Steensen.
    • Anæstesiologisk Afdeling, -Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 København NV. E-mail: christian.overgaard.Steensen@ki.au.dk.
    • Ugeskr. Laeg. 2014 Sep 1; 176 (36).

    AbstractThe hospitalized patient is at risk of hyponatraemia caused by reduced electrolyte free water clearance and prescription of hypotonic fluids. Hospital-acquired hyponatraemia is common and associated with increased mortality/morbidity. Hyponatraemia in itself can cause severe cerebral symptoms. Small decreases in P-[Na⁺] in patients with reduced intracranial compliance (e.g. meningitis) can be dangerous. To reduce iatrogenic hyponatraemia the understanding of P-[Na+] is fundamental. Next, meticulously prescription of fluid amount/quality and reevaluation as with any other drug is of paramount importance.

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