Hypernatremia Treatment

1. hypernatremia with excessive lost water, mainly to correct water loss.

water loss can be calculated as follows: men: lack of water volume = 0.6 × body weight × [1 - (normal serum sodium concentration of mmol / L) / (Patient measured by sodium concentration)]. Women: lack of water volume = 0.5 × body weight × [1 - (normal serum sodium concentration of mmol / L) / (patient's serum sodium concentration measured)].

2. Supplementary isotonic saline and 5% glucose solution, according to 1 / 4: 3 / 4 or 1:1 ratio of the mixed preparation. Glucose into the body by metabolism out soon after, it is equivalent to a mixed solution prepared in hypotonic solution. 0.45% may also choose saline or 5% glucose solution.

3. To take intravenous rehydration, rehydration speed not too fast, and close monitoring of serum sodium concentration, sodium concentration decrease per hour of not more than 0.5mmol / L is better, otherwise they will cause an imbalance of brain cells caused by osmotic brain edema.

4. treatment of hypernatremia On obstacles of sodium excretion. Too many are excluded from the main body of sodium, can lose 5% glucose solution, sodium emission at the same time with diuretics to increase sodium emission can be used furosemide (furosemide), or according to him Nigeria sodium (sodium diuretic). Diuretic effect of these drainage sodium than scheduled, it must at the same time the use of rehydration. If a patient has renal failure, then the use of blood or peritoneal dialysis treatment. Hypertonic dialysis solution containing glucose better.