저나트륨혈증과 고나트륨혈증

본문내용

rnatremia by water deficit
2. 증상 및 진단
- Water loss (ECF ↓):
water shift to ICF : TBW 일정 → rhabdomyolysis, seizure
water loss : TBW 감소
→ insensible loss : sweating,burn
→ renal loss: pure water loss : diabetesinsipidus
osmotic diuresis : diuretics,solutediuresis
→ GI loss
- Decreased water intake (ECF ↓): primary hypodipsia (elderly patient, coma)
- Sodium gain (ECF ↑): NaHCO3 in CPR
3. 치료
- Treatment of Severe Hypernatremia
→ [Na+]> 160 mmol/L or [Na+]> 20mmol/L in 24hours with CNS
symptoms and sign
→ infusion of 5% D/W 2-4L during first 2-4 hr, maximal correction rate <
10-12 mmol/L/day

키워드

저나트륨혈증,   고나트륨혈증,   나트륨혈증