Hyponatremia primary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hyponatremia}} | {{Hyponatremia}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{Saeedeh}} | ||
==Overview== | ==Overview== | ||
In patients at risk of developing hyponatremia, preventing approaches has to be done to eliminate aggravation of hyponatremia. | |||
==Primary Prevention== | |||
* Hypotonic fluids and thiazide diuretics should be avoided, especially in patients at increased risk for hyponatremia. | |||
* Avoid polypharmacy in elderly, espceially thiazide diuretics and anti-depressants. <ref name="pmid29180859">{{cite journal| author=Filippatos TD, Makri A, Elisaf MS, Liamis G| title=Hyponatremia in the elderly: challenges and solutions. | journal=Clin Interv Aging | year= 2017 | volume= 12 | issue= | pages= 1957-1965 | pmid=29180859 | doi=10.2147/CIA.S138535 | pmc=5694198 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29180859 }} </ref> | |||
*Use isotonic fluids (like 5% dextrose in a solution of 0.9% saline in patients with well controlled congestive heart failure) instead of the common clinical practice of hypotonic fluids as maintenance therapy in elderly hospitalized patients. <ref name="pmid29180859">{{cite journal| author=Filippatos TD, Makri A, Elisaf MS, Liamis G| title=Hyponatremia in the elderly: challenges and solutions. | journal=Clin Interv Aging | year= 2017 | volume= 12 | issue= | pages= 1957-1965 | pmid=29180859 | doi=10.2147/CIA.S138535 | pmc=5694198 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29180859 }} </ref> | |||
* Thiazides should be avoided in persons with high fluid or low protein intake and during acute illness. | |||
* Monitor body weight for runners and encourage to drink water when they are thirsty, and prevent overdrinking during exercise. <ref name="pmid32097926">{{cite journal| author=Hew-Butler T| title=Exercise-Associated Hyponatremia. | journal=Front Horm Res | year= 2019 | volume= 52 | issue= | pages= 178-189 | pmid=32097926 | doi=10.1159/000493247 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32097926 }} </ref> | |||
* Patients with history of anti-depressant induced hyponatremia may be prescribed bupropion instead of more commonly used drugs. <ref name="pmid29180859">{{cite journal| author=Filippatos TD, Makri A, Elisaf MS, Liamis G| title=Hyponatremia in the elderly: challenges and solutions. | journal=Clin Interv Aging | year= 2017 | volume= 12 | issue= | pages= 1957-1965 | pmid=29180859 | doi=10.2147/CIA.S138535 | pmc=5694198 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29180859 }} </ref> | |||
*Early sodium supplementation of enteral feedings in very premature infants averts hyponatremia and enhances weight gain. <ref name="IsemannMueller2014">{{cite journal|last1=Isemann|first1=Barbara|last2=Mueller|first2=Eric W.|last3=Narendran|first3=Vivek|last4=Akinbi|first4=Henry|title=Impact of Early Sodium Supplementation on Hyponatremia and Growth in Premature Infants|journal=Journal of Parenteral and Enteral Nutrition|volume=40|issue=3|year=2014|pages=342–349|issn=0148-6071|doi=10.1177/0148607114558303}}</ref> | |||
To see the risk factors associated with hyponatremia, click here. | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category: | [[Category: (name of the system)]] | ||
Latest revision as of 18:32, 27 July 2021
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Hyponatremia primary prevention On the Web |
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Risk calculators and risk factors for Hyponatremia primary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Saeedeh Kowsarnia M.D.[2]
Overview
In patients at risk of developing hyponatremia, preventing approaches has to be done to eliminate aggravation of hyponatremia.
Primary Prevention
- Hypotonic fluids and thiazide diuretics should be avoided, especially in patients at increased risk for hyponatremia.
- Avoid polypharmacy in elderly, espceially thiazide diuretics and anti-depressants. [1]
- Use isotonic fluids (like 5% dextrose in a solution of 0.9% saline in patients with well controlled congestive heart failure) instead of the common clinical practice of hypotonic fluids as maintenance therapy in elderly hospitalized patients. [1]
- Thiazides should be avoided in persons with high fluid or low protein intake and during acute illness.
- Monitor body weight for runners and encourage to drink water when they are thirsty, and prevent overdrinking during exercise. [2]
- Patients with history of anti-depressant induced hyponatremia may be prescribed bupropion instead of more commonly used drugs. [1]
- Early sodium supplementation of enteral feedings in very premature infants averts hyponatremia and enhances weight gain. [3]
To see the risk factors associated with hyponatremia, click here.
References
- ↑ 1.0 1.1 1.2 Filippatos TD, Makri A, Elisaf MS, Liamis G (2017). "Hyponatremia in the elderly: challenges and solutions". Clin Interv Aging. 12: 1957–1965. doi:10.2147/CIA.S138535. PMC 5694198. PMID 29180859.
- ↑ Hew-Butler T (2019). "Exercise-Associated Hyponatremia". Front Horm Res. 52: 178–189. doi:10.1159/000493247. PMID 32097926 Check
|pmid=value (help). - ↑ Isemann, Barbara; Mueller, Eric W.; Narendran, Vivek; Akinbi, Henry (2014). "Impact of Early Sodium Supplementation on Hyponatremia and Growth in Premature Infants". Journal of Parenteral and Enteral Nutrition. 40 (3): 342–349. doi:10.1177/0148607114558303. ISSN 0148-6071.