Abstract
Severe hypernatraemia in a hospital population should be an avoidable problem. We have looked at its causes and incidence over one year and have shown that serious hypernatraemia (serum sodium greater than 160 mmol/l) as a manifestation of severe dehydration is associated with a high morbidity and mortality. Failure to maintain adequate fluid intake, intentional or unintentional, was the most frequent cause. Nursing and medical staff must be made more aware of this problem and encouraged to initiate early treatment of dehydration.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Arieff A. I. Central nervous system manifestations of disordered sodium metabolism. Clin Endocrinol Metab. 1984 Jul;13(2):269–294. doi: 10.1016/s0300-595x(84)80022-5. [DOI] [PubMed] [Google Scholar]
- Billings J. A. Comfort measures for the terminally ill. Is dehydration painful? J Am Geriatr Soc. 1985 Nov;33(11):808–810. doi: 10.1111/j.1532-5415.1985.tb04196.x. [DOI] [PubMed] [Google Scholar]
- Himmelstein D. U., Jones A. A., Woolhandler S. Hypernatremic dehydration in nursing home patients: an indicator of neglect. J Am Geriatr Soc. 1983 Aug;31(8):466–471. doi: 10.1111/j.1532-5415.1983.tb05118.x. [DOI] [PubMed] [Google Scholar]
- Leaf A. Dehydration in elderly. N Engl J Med. 1984 Sep 20;311(12):791–792. doi: 10.1056/NEJM198409203111209. [DOI] [PubMed] [Google Scholar]
- Phillips P. A., Rolls B. J., Ledingham J. G., Forsling M. L., Morton J. J., Crowe M. J., Wollner L. Reduced thirst after water deprivation in healthy elderly men. N Engl J Med. 1984 Sep 20;311(12):753–759. doi: 10.1056/NEJM198409203111202. [DOI] [PubMed] [Google Scholar]
- Ross E. J., Christie S. B. Hypernatremia. Medicine (Baltimore) 1969 Nov;48(6):441–473. doi: 10.1097/00005792-196948060-00002. [DOI] [PubMed] [Google Scholar]
- Turner J., Brown A., Russell P., Scott P., Browne M. "Pushing fluids'--can current practices of maintaining hydration in hospital patients be improved? J R Coll Physicians Lond. 1987 Jul;21(3):196–198. [PMC free article] [PubMed] [Google Scholar]
- Willatts S. M. Fluid and electrolyte disorders. Water. Br J Hosp Med. 1984 Jul;32(1):8–14. [PubMed] [Google Scholar]
- ZIERLER K. L. Hyperosmolarity in adults: a critical review. J Chronic Dis. 1958 Jan;7(1):1–23. doi: 10.1016/0021-9681(58)90180-2. [DOI] [PubMed] [Google Scholar]