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232 Possible Causes for Hypernatremia, Oliguria

  • Adrenal Insufficiency

    Its release will lead to hypernatremia and hypokalemia, once stimulated by ACTH, elevated potassium levels, and/or the renin-angiotensin-aldosterone system (RAAS).[pharmacytimes.com] Both twins developed late-onset adrenal insufficiency with oliguria, hypotension, hyponatremia, and pulmonary edema at a postnatal age of 24 days and 51 days, respectively[ncbi.nlm.nih.gov] […] or hypothermia, tachycardia, tachypnoea, and either leucocytosis or leucopenia; and at least one of the following: acute mental changes, hypoxaemia, hyperlactataemia, and oliguria[adc.bmj.com]

  • Acute Gastroenteritis

    Results: AGE constituted 18% of the total admissions. 22% had Hyponatremia, 71.5% had Isonatremia and 6.5% had Hypernatremia.[omicsonline.org] Akech et al. measured urine output hourly for the first 8 hours (using urinary catheters) and reported frequency of oliguria ( 7 .[wellcomeopenresearch.org] […] dehydration: apathy, tiredness, dizziness, muscle cramps, dry tongue, sunken eyes, reduced skin elasticity, postural hypotension (systolic blood pressure 90 mm Hg), tachycardia, oliguria[patient.info]

  • Dehydration

    We present the case of a full-term newborn who was fed solely breast milk and developed severe dehydration and hypernatremia.[ncbi.nlm.nih.gov] Urinary findings include a decrease in urine volume (oliguria), specific gravity higher than 1.030, and an increase in urine osmolality.[medical-dictionary.thefreedictionary.com] These findings are compatible with previously described CNS pathologic findings in hypernatremia.[ncbi.nlm.nih.gov]

  • 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[renalandurologynews.com] Oliguria was observed in 72.2% of the patients.[ncbi.nlm.nih.gov] Peritoneal dialysis was started at a mean of 51 hours after transplantation for treatment of anuria (5 patients, 50%), oliguria (3 patients, 30%), fluid overload or hyperkalemia[ncbi.nlm.nih.gov]

  • Acute Tubular Necrosis

    The complications of acute renal failure (such as, gastrointestinal bleeding, acidosis, oliguria and hypervolaemia) were more prevalent in ischaemic and mixed ATN patients[ncbi.nlm.nih.gov] We describe a renal transplant recipient in whom oliguria developed during the first week after transplant, although his early renal allograft function was good.[ncbi.nlm.nih.gov] Twenty-four hours after admission to the cardiac intensive care unit, he develops oliguria.[medbullets.com]

  • Mannitol

    Hypokalemia and hypernatremia may also occurs. Hypernatremia is due to excess loss of water compared to sodium.[openanesthesia.org] Treatment of Oliguria The usual dose for treatment of oliguria is 100 g administered as a 20% solution.[globalrph.com] Gipstein RM, Boyle JD (1965) Hypernatremia complicating prolonged mannitol diuresis. N Engl J Med 272: 1116-1117.[omicsonline.org]

  • Urinary Tract Obstruction

    Severe hypernatremia and hyperosmolar dehydration developed in a patient with partial urinary tract obstruction.[ncbi.nlm.nih.gov] Patients range from having oliguria / anuria to only having asymptomatic hydronephrosis that is incidentally identified through imaging or elevated creatinine levels.[amboss.com] This case documents lower urinary tract obstruction as a cause of nephrogenic diabetes insipidus and severe hypernatremia and illustrates its reversible nature.[ncbi.nlm.nih.gov]

  • Bicarbonate

    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[ncbi.nlm.nih.gov] Patients with severe lactic acidosis and oliguria who receive large amounts of sodium bicarbonate may develop fluid overload and hyperosmolarity.[ncbi.nlm.nih.gov] Completed Treatment Anaesthesia therapy / Local Infiltration 1 2 Completed Treatment Cardiac Arrest / Metabolic Acidosis 1 2 Completed Treatment Impaired Renal Function / Oliguria[drugbank.ca]

  • Acute Glomerulonephritis

    Kayexalate: hypokalemia, intestinal obstruction/necrosis, gastrointestinal (GI) perforation, constipation, hypernatremia, nausea.[clinicaladvisor.com] We report the case of a 10-year-old boy with acute glomerulonephritis who presented with gross hematuria, headache, vomiting, and oliguria, and developed transient cortical[ncbi.nlm.nih.gov] Clinical manifestation included edema in 68.8%, oliguria in 36.3%, gross hematuria in 69.1%, HTN in 61.7% and anuria in 1.06%.[ncbi.nlm.nih.gov]

  • Heart Failure

    Pulmonary hypertension has not been described as a complication of hypernatremia.[ncbi.nlm.nih.gov] […] signs of right heart failure: congested jugular veins, hepatomegaly, peripheral edema, ascites associated with atrial fibrillation, low values of arterial blood pressure and oliguria[ncbi.nlm.nih.gov] These mechanisms are responsible for the symptoms of diaphoresis, cool skin, tachycardia, cardiac arrhythmias, and oliguria.[medical-dictionary.thefreedictionary.com]

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