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68 Possible Causes for Hypernatremia, Hyperosmolar State

  • Dehydration

    We present the case of a full-term newborn who was fed solely breast milk and developed severe dehydration and hypernatremia.[] The English literature contains only a few reports of the cranial radiological findings in severe neonatal hypernatremia.[] These findings are compatible with previously described CNS pathologic findings in hypernatremia.[]

  • Diarrhea

    Her hypernatremia was resistant to fluid management.[] CASE PRESENTATION: A 79-year-old female was admitted because of metabolic encephalopathy caused by dehydration and hypernatremia.[] Hypernatremia. N Engl J Med 2000;342: 1493--1499. Brown KH, Peerson J, Fontaine O.[]

  • Diabetes Insipidus

    Hypernatremia was corrected by scheduled water intake with desmopressin administration.[] The intensive regimen used to maintain stable serum sodium concentrations was relaxed without the patients subsequently developing a significant hyperosmolar state.[] state CAUSES OF CENTRAL DIABETES INSIPIDUS Acquired Surgery (transsphenoidal) – common TBI – common Idiopathic Autoimmune Tumours (suprasellar, lung, breast, lymphoma, leukaemia[]

  • Nephrogenic Diabetes Insipidus

    The patient was found to have profound hypernatremia and severe hypercalcemia with normal parathyroid and vitamin D serum levels.[] Nephrogenic DI should be considered in differentials of non-traumatic rhabdomyolisis along with other hyperosmolar states including severe dehydration, diabetic nonketotic[] Investigations revealed persistent hypernatremia and deranged renal functions. Diagnostic work-up was suggestive of nephrogenic diabetes insipidus (NDI).[]

  • Diabetic Ketotic Coma

    […] prevent recurrence complications of treatment – most common is hypoglycemia following insulin administration ("insulin shock") excessive administration of fluid can lead to hypernatremia[] state.[] Hypernatremia often contributes additionally to plasma hyperosmolarity. The pathogenesis of these component abnormalities is considered.[]

  • Acute Kidney Failure

    Hypernatremia is a less common complication of acute kidney injury, but may develop during the diuretic phase of recovering acute tubular necrosis (ATN) or in the setting[] Water intake can be further restricted for hyponatremia or increased for hypernatremia.[] state Severe hyperkalemia may result from cell lysis when acute kidney injury develops in the setting of rhabdomyolysis intravascular hemolysis tumor lysis syndrome severe[]

  • Hypernatremia

    There are several common causes of hypernatremia (see Principal Causes of Hypernatremia ).[] Plasma arginine vasopressin (AVP) level was normal despite the severe hypernatremic hyperosmolar state and urine was not properly concentrated, while AVP secretion was rapidly[] We report the case of a 82 year-old woman with hyperosmolar hyperglycemic state (HHS) associated with hypernatremia, who was treated using 0.2 % sodium chloride in 5 % dextrose[]

  • Central Pontine Myelinolysis

    We should keep in mind that acute hypernatremia and CPM can be associated with intravenous sodium bicarbonate therapy, and that CPM due to acute hypernatremia may be effectively[] CPM occurred in this patient before the correction of hyperglycaemic hyperosmolar state, and a disturbance in his initial electrolytes was not found.[] The development of CPM as a result of rapid shifts in plasma osmolality during the treatment of the hyperglycaemic hyperosmolar state (HHS) has hitherto been described in[]

  • Hyponatremia

    Assessment of Hypernatremia (serum sodium 145 mEq/L [ 145 mmol/L]) FIGURE 2. Algorithm for the assessment of hypernatremia.[] Chiasson JL, Aris-Jilwan N, Belanger R (2003) Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar state. CMAJ 168: 859-866.[] […] hyperglycemic states) Pseudohyponatremia: hyperlipidemia, hyperproteinemia Clinical Manifestations The clinical manifestations define the severity of the hyponatremia (i.e[]

  • Osmotic Diuretic

    : fluid loss leads to significant dehydration and in the absence of adequate fluid replacement leads to hypernatremia.[] Figure 3 Representation of the multiple consequences of hypernatremia and hyperosmolarity state on the body functions.[] […] hypervolemia, hypernatremia, pulmonary edema) osmotic diuretic contraindications and precautions?[]

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