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115 Possible Causes for Hyperchloremia, Hypernatremia

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  • Acute Gastroenteritis

    Results: AGE constituted 18% of the total admissions. 22% had Hyponatremia, 71.5% had Isonatremia and 6.5% had Hypernatremia.[] Summary of results in patients with hypernatremia at baseline.[] Hypernatremia and hyponatremia: current understanding and management. Clinical Pediatric Emergency Medicine 2009;10(4):272-8. 2. Holliday MA, Segar WE.[]

  • Nephrogenic Diabetes Insipidus

    The patient was found to have profound hypernatremia and severe hypercalcemia with normal parathyroid and vitamin D serum levels.[] Integrative Therapy Quick Links: Related Terms Acquired nephrogenic diabetes insipidus, ADH-resistant diabetes insipidus, arginine vasopressin, AVP, diabetes insipidus renalis, hyperchloremia[] Investigations revealed persistent hypernatremia and deranged renal functions. Diagnostic work-up was suggestive of nephrogenic diabetes insipidus (NDI).[]

  • Hypertonic Saline Infusion

    There was no effect modification by either HTS or hypernatremia on each another.[] The most common electrolyte abnormalities were hyperchloremia (49.3 percent) and hypokelamia (46.9 percent), but the clinical importance of these remains unclear.[] Hypertonic saline also can cause hypokalemia and hyperchloremia, as well as a mild metabolic acidosis.[]

  • Dehydration

    We present the case of a full-term newborn who was fed solely breast milk and developed severe dehydration and hypernatremia.[] Hyperchloremia was the commonest electrolyte disorder (53.8%), followed by hyperkalemia (26.9%) and hypernatremia (17.3%).[] These findings are compatible with previously described CNS pathologic findings in hypernatremia.[]

  • Renal Tubular Acidosis

    Furthermore, large amounts of NaHCO 3 are commonly required, and volume overload and hypernatremia can occur.[] Based on clinical findings (delayed growth and O-bein deformity) and laboratory tests (hypokalemia, hyperchloremia, partially compensated metabolic acidosis, alkaline urine[] Features Chronic metabolic acidosis with hyperchloremia and normal anion gap. Urinary pH is usually over 5.5 although acidemia with normal glomerular function.[]

  • Oculocerebrorenal Syndrome

    Hypermagnesemia / Hypomagnesemia - Ca 2 Hypercalcaemia / Hypocalcaemia / Disorders of calcium metabolism Fluid, electrolyte and acid-base balance Electrolyte disturbance - Na Hypernatremia[] Respiratory , Lactic ) - Alkalosis ( Metabolic , Respiratory ) - Mixed disorder of acid-base balance - H 2 O Dehydration / Hypervolemia - K Hypokalemia / Hyperkalemia - Cl Hyperchloremia[]

  • Pseudohypoaldosteronism of Infancy

    Belot, A; Ranchin, B; Fichtner, C Physiological partial aldosterone resistance in human newborns Martinerie, L; Pussard, E; Foix‐L'Helias, L Obstructive nephropathy Klahr, S Hypernatremia[] At age of seven days, he had hyperkalemia (7.0 mmol/l) and hyperchloremia (110 mmol/l) that persisted. Plasma renin activity (PRA) was 95 P).[] Sodium supplementation up to 40 mEq/L was required to control the hyponatremia initially but later resulted in hypernatremia (serum sodium 150 mEq/L).[]

  • Congenital Chloride Diarrhea

    Her hypernatremia was resistant to fluid management.[] For mild hyperchloremia, Ringer’s lactate solution is administered; it converts to bicarbonate in the liver, thus increasing base bicarbonate to correct acidosis.[] Laboratory data on hospital admission showed a normal complete blood cell count, but her chemistry analysis revealed significant hypernatremia, hyperkalemia, metabolic acidosis[]

  • Alkalosis

    Idiopathic adipsic hypernatremia (AH) is a rare disorder associated with hypokalemia and alkalosis.[] Code E87.8 Other disorders of electrolyte and fluid balance, not elsewhere classified 2016 2017 2018 2019 Billable/Specific Code Applicable To Electrolyte imbalance NOS Hyperchloremia[] The hyperchloremia is related to excretion of filtered sodium and potassium with bicarbonate as hydrogen secretion decreases in proximal and distal tubules.[]

  • Neurosurgical Procedure

    Adipsic DI is another entity which impaired thirst mechanism and aggravate hypernatremia.[] Hyperchloremia is due to loss of electrolyte-free water or administration of sodium chloride-containing fluids.[] Hypernatremia and central Diabetes Insipidus following Neurosurgical procedure of Trauma. Arch Pathol Clin Res. 2017; 1: 005-008.[]

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