2021, Number 6
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Med Crit 2021; 35 (6)
Dysnatremia: a precise, solid and concise approach
Sánchez-Díaz JS, Peniche-Moguel KG, Martínez-Rodríguez EA, Pérez-Nieto OR, Zamarrón-López EI, Monares-Zepeda E
Language: Spanish
References: 35
Page: 342-353
PDF size: 276.79 Kb.
ABSTRACT
Dysnatremia is the most frequent electrolyte alteration in critically ill patients, with repercussions on morbidity and mortality. Sodium is the most important regulating electrolyte of blood osmolarity; the inherent relationship with the water molecule makes this pair have an interdependent and reciprocal ratio. Through this unsystematic review of the literature, the aim is to expose the physiology of sodium and the interaction with water, the pathophysiological mechanisms that lead to extremes in serum concentration, as well as diagnostic and therapeutic algorithms; so that medical decisions can be made in a precise, solid and concise manner.
REFERENCES
Adrogué HJ, Madias N. Hyponatremia. N Engl J Med. 2000;342(21):1581-1589.
Adrogué HJ, Madias NE. Hypernatremia. N Engl J Med. 2000;342(20):1493-1499.
Agrawal V, Agarwal M, Joshi SR, Ghosh AK. Hyponatremia and hypernatremia: disorders of water balance. J Assoc Physicians India. 2008;56:961-963.
García Vicente E, Del Villar Sordo V, García y García EL. Trastornos del sodio. Med Clin (Barc). 2010;134(12):554-63.
Rose BD, Post TW. Regulation of plasma osmolality. In: Clinical physiology of acid-base and electrolyte disorders. 5th ed. New York: McGrawHill; 2001.
Kamel KS, Halperin ML. Salt and water. In: Fluid, electrolyte and acid-base physiology: a problembased approach. 5th ed. Elsevier Inc: 2017.
Verbalis J, Berl T. Disorders of water balance. In: Brenner BM. The Kidney, 10th ed. Philadelphia: Elsevier España; 2018.
Berl T, Sands JM. Disorders of Water Metabolism. In: Comprehensive Clinical Nephrology, 6th ed. Elsevier: 2019.
Agustín Godoy D, Álvarez E, Campi V, Soler C, Masotti L, Di Napoli M. Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda. Rev Med Chile. 2013;141:616-625.
Bodonyi-Kovacs G, Lecker SH. Electrolyte-free water clearance: A key to the diagnosis of hypernatremia in resolving acute renal failure. Clin Exp Nephrol. 2008;12(1):74-78.
Feinfeld DA, Danovitch GM. Factors affecting urine volume in chronic renal failure. Am J Kidney Dis. 1987;10(3):231-235.
Cox P. Insensible water loss and its assessment in adult patients: a review. Acta Anaesthesiol Scand. 1987;31(8):771-776.
Broch Porcara MJ, Rodríguez Cubillob B, Domínguez-Roldánc JM, Álvarez Rochad L, Ballesteros Sanze MA, Cervera Montesf M, et al. Documento práctico del manejo de la hiponatremia en pacientes críticos. Med Intensiva. 2019;43(5):302-316.
Hillier TA, Abbott RD, Barrett EJ. Hyponatremia: evaluating the correction factor for hyperglycemia. Am J Med. 1999;106(4):399-403.
Slotki, Itzhak N, Skorecki KL. Disorders of Sodium Balance. 10th ed. Elsevier Inc. 2016.
Spasovski G, Vanholder R, Allolio B. Hyponatraemia diagnosis and treatment clinical practice guidelines. Nefrol. 2017;37(4):370-380.
Funk GC, Lindner G, Druml W, Metnitz B, Schwarz C, Bauer P, et al. Incidence and prognosis of dysnatremias present on ICU admission. Intensive Care Med. 2010;36(2):304-311.
Maesaka J, Imbriano L, Mattana J, Gallagher D, Bade N, Sharif S. Differentiating SIADH from Cerebral/Renal Salt Wasting: Failure of the Volume Approach and Need for a New Approach to Hyponatremia. J Clin Med. 2014;3(4):1373-1385.
Sterns RH. Disorders of Plasma Sodium--Causes, Consequences, and Correction. N Engl J Med. 2015;372(1):55-65.
Spasovski G, Vanholder R, Allolio B. Clinical practice guideline on diagnosis and treatment of hyponatraemia. Eur J endocrinol. 2014; 171 (1): X1. Doi 10.1530/EJE-13-1020.
Seay NW, Lehrich RW, Greenberg A. Diagnosis and Management of Disorders of Body Tonicity-Hyponatremia and Hypernatremia: Core Curriculum 2020. Am J Kidney Dis. 2020;75(2):272-286.
Portales-Castillo I, Sterns RH, Bress J, Proano RA. Where Do the Salt and Water Go? A Case of Profound Hyponatremia. Am J Kidney Dis. 2018;72(63):885-889.
Lindner G, Funk GC. Hypernatremia in critically ill patients. J Crit Care. 2013;28(2):216.e11-216e.20.
Muhsin SA, Mount DB. Diagnosis and treatment of hypernatremia. Best Pract Res Clin Endocrinol Metab. 2016;30(2):189-203.
Liamis G, Filippatos TD, Elisaf MS. Evaluation and treatment of hypernatremia: practical guide for physicians. Postgrad Med. 2016;128(3):299-306.
Nelson DC, McGrew WR Jr, Hoyumpa AM Jr. Hypernatremia and lactulose therapy. JAMA. 1983;249:1295-1298.
Baldeweg SE, Ball S, Brooke A, Gleeson HK, Levy MJ, Prentice M, et al. SOCIETY FOR ENDOCRINOLOGY CLINICAL GUIDANCE: Inpatient management of cranial diabetes insipidus. Endocr Connect. 2018;7(7):G8-G11.
Schrier RW. The sea within us: Disorders of body water homeostasis. Curr Opin Investig Drugs. 2007;8(4):304-311.
Maggs FG. The management of patients presenting with hypernatraemia: Is aggressive management appropriate? Clin Med J R Coll Physicians London. 2014;14(3):260-263.
Goldman L, Ausiello D. Tratado de Medicina Interna. 23 edición. Editorial Elsevier. 2009.
Saifan C, Nasr R, Mehta S, Sharma Acharya P, Perrera I, Faddoul G, et al. Diabetes insipidus: a challenging diagnosis with new drug therapies. ISRN Nephrol. 2013;2013:797620.
Kalra S, Zargar AH, Jain SM, Sethi B, Chowdhury S, Singh AK, et al. Diabetes insipidus: The other diabetes. Indian J Endocrinol Metab. 2016;20(1):9-21.
Sterns RH. Evidence for managing hypernatremia: is it just hyponatremia in reverse? Clin J Am Soc Nephrol. 2019;14(5);645-647.
Chauhan K, Pattharanitima P, Patel N, Duffy A, Saha A, Chaudhary K, et al. Rate of correction of hypernatremia and health outcomes in critically ill patients. Clin J Am Soc Nephrol. 2019;14(5):656-663.
Secretaría de Salud. Guía de Práctica Clínica Diagnóstico y Tratamiento de Hipernatremia en el Adulto. México. Consejo de Salubridad General; 2013.