Practical management of hyponatremia

Authors

  • Susana Pretus Rubio Resident of Anesthesiology and Resuscitation. Getafe University Hospital.
  • Irene Alonso Ramos Assistant Anesthesiology and Resuscitation Service of the Getafe University Hospital. Madrid. Spain.
  • Almudena Baños Maestro Resident of Anesthesiology and Resuscitation. Getafe University Hospital.
  • Marisa Mariscal Flores Head of the Anesthesiology and Resuscitation Service Section of the Getafe University Hospital. Madrid. Spain.

DOI:

https://doi.org/10.30445/rear.v13i3.968

Keywords:

Hyponatremia, critical, osmolarity, electrolytes, volemia

Abstract

Hyponatremia is the most prevalent electrolyte disorder, so knowledge of its diagnosis and treatment is essential in standard clinical practice. Hypoosmolar hyponatremia is defined as decreased plasma sodium concentration below 135 mEq/L, associated with a decrease in plasma osmolarity. Its speed of development and its symptoms determine the urgency of treatment. Treatment must be individualized and monitored to prevent osmotic demyelination syndrome, the most serious complication of overly rapid correction.

For the writing of this review article, a search has been carried out on the UpToDate and PubMed platforms of the review articles and systematic reviews published over the past five years, in Spanish and English, with the keywords: hyponatremia, critically ill, osmolarity and volemia. Books are indicated in the references section.

References

Broch Porcar MJ, Rodríguez Cubillo B, Domínguez-Roldán JM, Álvarez Rocha L, Ballesteros Sanz MÁ, Cervera Montes M, et al. Documento práctico del manejo de la hiponatremia en pacientes críticos. Med Intensiva. 2019; 43 (5): 302-316.

Jiménez Murillo L, Montero Pérez FJ. Urgencias endocrinometabólicas. Hiponatremia. Medicina de urgencias y emergencias. Guía diagnóstica y protocolos de actuación, 5ª ed. Barcelona: Elsevier; 2015: 488-492.

Suárez Pita D, Vargas Romero JC, Salas Jarque J, Losada Galván I, de Miguel Campo B, Catalán Martín PM, et al. Trastornos del equilibrio hidroelectrolítico. Síndrome de secreción inadecuada de hormona antidiurética. Fluidoterapia. Alteraciones en el equilibrio del sodio y el agua. Manual de Diagnóstico y Terapéutica Médica. Hospital Universitario 12 de Octubre, 8ª ed. Madrid: Jiménez Godoy S.A; 2016: 1127-1132.

Winn Seay N, Lehrich RW, Greenberg A. Diagnosis and Management of Disorders of Body Tonicity—Hyponatremia and Hypernatremia: Core Curriculum 2020. AJKD. 2019; 75 (2): 272-286. doi: 10.1053/j.ajkd.2019.07.014.

Thanippuli Arachchige D, McClure J. Electrolyte disorders in the critically ill. Anaesthesia and intensive care medicine. 2020; 21 (3): 147-153.

Sterns RH, Emmett M, Forman JP. Osmotic demyelination syndrome (ODS) and

overly rapid correction of hiponatremia. UpToDate. Wolters Kluwer; 2020. Disponible en www.uptodate.com.

Sterns RH, Emmett M, Forman JP. Causes of hypotonic hyponatremia in adults. UpToDate. Wolters Kluwer; 2020. Disponible en www.uptodate.com.

Hoorn EJ, Zietse R. Diagnosis and Treatment of Hyponatremia: Compilation of the Guidelines. J Am Soc Nephrol. 2017; 28: 1340–1349. doi: https://doi.org/10.1681/ASN.2016101139.

Adrogué Madias HJ. Primary Care: Hyponatremia. NEJM. 2000; 342 (21): 1581-1589.

Sterns RH. Treatmente of Severe Hyponatremia. Clin J Am Soc Nephrol. 2018; 13: 641–649. doi: https://doi.org/10.2215/CJN.10440917.

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Published

2021-04-12

How to Cite

Pretus Rubio, S., Alonso Ramos, I., Baños Maestro, A., & Mariscal Flores, M. (2021). Practical management of hyponatremia. Revista Electrónica AnestesiaR, 13(3). https://doi.org/10.30445/rear.v13i3.968

Issue

Vol. 13 No. 3 (2021): Revista Electrónica de AnestesiaR

Section

Review articles

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Copyright (c) 2021 Revista Electrónica AnestesiaR

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