Hypernatremia primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Overview

Effective measures for the primary prevention of hypernatremia include an increase in water intake during increased insensible water losses. A low-sodium diet will reduce oral solute intake and therefore decrease renal water loss.

Primary Prevention

Effective measures for the primary prevention of hypernatremia include:[1][2]

  • Increase in water intake during increased insensible water losses
  • A low-sodium diet will reduce oral solute intake and therefore decrease renal water loss.
  • Urine output should be monitored in patients with renal insufficiency and the inability to drink water.
  • Basic metabolic profile should be monitored for electrolytes in patients with urinary losses and should be replaced adequately.
  • Adequate water intake is encouraged in patients who are immobile and in patients with impaired thirst.
  • Increased water intake is recommended in patients with fever.

References

  1. Khuchua TO, Sukhareva BS (November 1975). "[Effect of pH and pyridoxal phosphate on the quaternary structure of E. coli glutamate decarboxylase]". Dokl. Akad. Nauk SSSR (in Russian). 225 (2): 457–9. PMID 1215.
  2. Poole-Wilson PA, Langer GA, Priluck IA, Buettner H, Robertson DM (September 1975). "Effect of pH on ionic exchange and function in rat and rabbit myocardium". Am. J. Physiol. 229 (3): 570–81. doi:10.1152/ajplegacy.1975.229.3.570. PMID 2014.

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