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==Primary Prevention==
==Primary Prevention==
*Effective measures for the primary prevention of hypernatremia include:
Effective measures for the primary prevention of hypernatremia include:
** Increase in water intake during increased insensible water losses
* Increase in water intake during increased insensible water losses
**A low-sodium diet will reduce oral solute intake and therefore decrease renal water loss.
*A low-sodium diet will reduce oral solute intake and therefore decrease renal water loss.
**Patients with renal insufficiency and the inability to drink water normally should be monitored for increased urine and stool output.
*Urine output should be monitored in patients with renal insufficiency and the inability to drink water.
**In patients with urinary losses, urine electrolyte concentrations should be obtained as soon as possible, and the volume of electrolyte-free water lost in the urine should be replaced by an equivalent amount of pure water.  
*Basic metabolic profile should be monitored for electrolytes in patients with urinary losses and should be replaced adequately.  
**Patients with impaired thirst and/or immobility (e.g., dementia patient in a nursing home) should have adequate water intake.  
*Adequate water intake is encouraged in patients who are immobile and in patients with impaired thirst.  
**Increased water intake may be required in the setting of fever. Except in emergencies, isotonic bicarbonate replacement is preferred to intravenous boluses of hypertonic sodium bicarbonate in patients with severe metabolic acidosis.
*Increased water intake is recommended in patients with fever.  
**[Measure2]
**[Measure3]
 
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 18:16, 16 May 2018

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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:

  • 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

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