Mild hypernatremia: Serum sodium 146–155 mEq/L
Severe hypernatremia: Serum sodium >155 mEq/L
Most symptoms attributed to underlying cause (e.g., dehydration)
More marked with acute changes
Death likely to occur with sodium of ≥185 mEq/L
May see the following symptoms,...
0.9% NS IV bolus for severe hypotension
Naloxone, thiamine, D50W (or Acc...
Newly diagnosed sodium >150 mEq/L for monitoring and treatment
Admit sodium >160 mEq/L or symptomatic patients to ICU.
Sodium <150 mEq/L...
Up to 30% of acute hypernatremia patients will have permanent neurologic sequelae, a complete and well-documented neurologic exam is a must.
Patients at extreme ages and with chroni...
Ellison D. Disorders of sodium and water. Am J Kidney Dis. 2005;46(2):356–361.
Fall P. Hyponatremia and hypernatremia. A systematic approach to causes and their correction. P...
276.0 Hyperosmolality and/or hypernatremia
775.5 Other transitory neonatal electrolyte disturbances
E87.0 Hyperosmolality and hypernatremia
P74.2 Disturbances of sodium balance of newborn
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