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Extracellular Fluid Volume Deficit And Hypernatremia
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INTRODUCTION In a variety of clinical disorders fluid losses reduce extracellular fluid volume potentially compromising tissue perfusion Early diagnosis and prompt treatment to restore euvolemia can be lifesaving
The sole indication for administering isotonic saline to a patient with hypernatremia is a depletion of extracellular fluid volume that is sufficient to cause substantial hemodynamic
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Hyponatremia Nursing Mnemonics Nursing School Tips Nursing Study Tips
Hyponatremia Nursing Mnemonics Nursing School Tips Nursing Study Tips
Because sodium and its anions make up most of the effective osmoles in the extracellular fluid a high plasma sodium concentration hypernatremia indicates hypertonicity and a decrease in cell volume 1 2 In most cases hypernatremia results from water depletion
If a hypotonic fluid is not substituted for isotonic saline the extracellular fluid volume may become seriously overloaded Extreme care must be taken to avoid excessively rapid correction or overcorrection of hypernatremia which increases the risk of iatrogenic cerebral edema with possibly catastrophic consequences
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Hypernatremia Diseases Conditions 5MinuteConsult
Hypernatremia Diseases Conditions 5MinuteConsult
Hyponatremia is defined as plasma sodium under 135 mmol L when the normal range is 135 145 mmol L Hyponatremia often occurs in situations of extracellular volume contraction but can occur in situations of no perturbation of extracellular volume or extracellular volume expansion such as syndrome of inappropriate antidiuretic
The net result is that the extracellular space expands total body water is elevated and intracellular fluid volume is decreased 2 These changes are most likely to occur in skeletal muscle which has limited acute cell volume regulatory
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https://www.nejm.org/doi/full/10.1056/NEJM200005183422006
The sole indication for administering isotonic saline to a patient with hypernatremia is a depletion of extracellular fluid volume that is sufficient to cause substantial hemodynamic
https://www.msdmanuals.com/.../electrolyte-disorders/hypernatremia
Hypernatremia reflects a deficit of total body water TBW relative to total body sodium content Because total body sodium content is reflected by extracellular fluid ECF volume status hypernatremia must be considered along with status of the ECF volume Hypovolemia Euvolemia
The sole indication for administering isotonic saline to a patient with hypernatremia is a depletion of extracellular fluid volume that is sufficient to cause substantial hemodynamic
Hypernatremia reflects a deficit of total body water TBW relative to total body sodium content Because total body sodium content is reflected by extracellular fluid ECF volume status hypernatremia must be considered along with status of the ECF volume Hypovolemia Euvolemia
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