Hypernatraemia in hospital populations.

Hypernatraemia in hospital populations.

Serious hypernatraemia in a hospital population.

Severe hypernatraemia in a hospital population should be an avoidable problem. We have looked at its causes and incidence over one year and have shown that serious hypernatraemia (serum sodium greater than 160 mmol/l) as a manifestation of severe dehydration is associated with a high morbidity and mortality. Failure to maintain adequate fluid intake, intentional or unintentional, was the most f...

Severe hypernatraemia in a very preterm infant.

Hypernatraemia in very low birth weight babies has been well documented and is usually attributable to excessive insensible water loss. We report a case in which, despite a peak serum sodium concentration of 204 mmol/l, the baby survived without morbidity. Treatment was simply to increase the intake of free water in Dextrose.

Correcting hypervolaemic hypernatraemia.

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Hypernatraemia: balancing is challenging.

As internists we like to think of ourselves as physicians with knowledge of disturbances of the milieu intérieur. Indeed, other specialities often call us for help when they are confronted with fluid and electrolyte disorders. The unrivalled number one of your electrolyte consults will undoubtedly be hyponatraemia. For example, hyponatraemia may arise in the postoperative period due to the comb...