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Hypernatremia treatment

With dehydration, orthostatic hypotension and oliguria are typical findings. Because water shifts from the cells to the intravascular space to protect volume status, symptoms may be delayed. Lethargy, irritability, and weakness are early signs. In severe hypernatremia (sodium > 160 mEq/L), symptoms include. Hyperthermia. Delirium. Seizures. Coma.

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Hypernatremia is also associated with high morbidity and mortality, both as a result of the underlying disease and inadequate treatment. The primary treatment of hypernatremia is water replacement-repleting water deficits and replacing ongoing losses. Additional treatment should be directed at eliminating excess water losses.

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Treatment for adrenal crisis includes immediate IV injections of corticosteroids and large amounts of IV saline, a salt solution, with dextrose added. Dextrose is a type of sugar. Treatment in special situations Surgery. If you're having any type of surgery that uses general anesthesia, you may have treatment with IV corticosteroids and saline.

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The treatment of chronic hypernatremia has two aims. The first aim is to correct the existing deficit of water, and the deficit of sodium when present, by administration of water or hypotonic saline. Cerebral edema secondary to excessive entry of water into brain cells, primarily astrocytes, may complicate a rapid decline in [Na] S in severe chronic hypernatremia.

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The Free Water Deficit in Hypernatremia calculates free water deficit by estimated total body water. ... Disease is diagnosed: prognosticate to guide treatment Prognosis. Numerical inputs and outputs Formula. Med treatment and more Treatment. Suggested protocols Algorithm. Disease. Select... Specialty. Select... Chief Complaint.

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