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Forebyggelse af hospitalserhvervet hyponatriæmi

Iatrogen hyponatriæmi forårsaget af svær fysiologisk hypoton væske.

Mathilde Lunøe & Christian Overgaard-Steensen

Anæstesiologisk Afdeling, Bispebjerg Hospital Ugeskr Læger 2014;176:V03140182

Ugeskr Læger 2014;176:V03140182
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Prevention of hospital-acquired hyponatremia

The hospitalized patient is at risk of hyponatraemia caused by reduced electrolyte free water clearance and prescription of hypotonic fluids. Hospital-acquired hyponatraemia is common and associated with increased mortality/morbidity. Hyponatraemia in itself can cause severe cerebral symptoms. Small decreases in P-[Na+] in patients with reduced intracranial compliance (e.g. meningitis) can be dangerous. To reduce iatrogenic hyponatraemia the understanding of P-[Na+] is fundamental. Next, meticulously prescription of fluid amount/quality and reevaluation as with any other drug is of paramount importance.

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