The sensation of thirst, renal function, concentrating abilities and hormonal modulators of salt and water balance are often impaired in the elderly, which makes such patients highly susceptible to morbid and iatrogenic events involving salt and water. Nonetheless, studies primarily designed to assess whether morbidity, length of hospitalization, overall well-being (preferably with a disease-specific instrument), and even mortality are urgently needed to determine whether the long-term use of these costly agents is justified. Want to use this article elsewhere? The increasing prevalence of hyponatremia with age is best illustrated in an analysis of >300,000 samples obtained from >120,000 patients of various ages (5). 1998;14:199–209.
Hyponatremia, hyposmolality, and hypotonicity: tables and fables. Robertson GL. Hyponatremia in a euvolemic patient can be managed with fluid restriction and discontinuation of any medications that affect free-water excretion, along with initiation of treatment of the underlying cause. Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. Did you know? ...Read more, No: This health issue can range from being mild, to moderate, to severe. Most cases of prolonged hyponatremia in the elderly are related to medication. ... Sainsbury R. Incidence and risk factors for hyponatraemia following treatment with fluoxetine or paroxetine in elderly people. He completed a fellowship in faculty development and research at Madigan Army Medical Center, Tacoma, Wash., and obtained a master of public health degree from the University of Washington, Seattle. Hyponatremia in the elderly: challenges and solutions Theodosios D Filippatos, Andromachi Makri, Moses S Elisaf, George Liamis Department of Internal Medicine, School of Medicine, University of Ioannina, Ioannina, Greece Abstract: Decreased serum sodium concentration is a rather frequent electrolyte disorder in the elderly population because of the presence of factors contributing to …
For example, hyponatremia related to heart failure should resolve if treatment to decrease the afterload, increase the preload or increase the contractility of the heart corrects the clinical situation. 2d ed. 12.
Hemodialysis catheters can be acute or temporary or chronic and in that case tunnelled under the skin. Why are ACE inhibitors usually not the first line of drug therapy in newly diagnosed cases of hypertension among elderly (55+years)?
This usually involves restricting water intake, adjusting medications and removing or treating the causes.
Keywords: sodium, prognosis, hypopituitarism, elderly, pituitary. Rapid decrease or large drop in levels can cause confusion, seizures, coma and even death. Hypertonic hyponatremia is caused by the accumulation of osmotically active nonelectrolyte solutes, which causes the movement of water from the intracellular compartment to the extracellular fluid.14 This action dilutes the sodium concentration and is usually the result of hyperglycemia.