chronic hyponatremia


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chronic hyponatremia

Hyponatremia of gradual onset, present for 48 hr or more. It should be corrected slowly to avoid neurological complications, e.g, , by about 10- 12 meq/L per day.
See also: hyponatremia
References in periodicals archive ?
Table 1 Risk factors for developing osmotic demyelination syndrome Advanced liver disease Alcoholism Hypokalemia Malnutrition Serum sodium concentration <105 mEq/L Source: Reference 6 Table 2 Expert panel recommendations: Avoiding ODS in patients with chronic hyponatremia Goal Minimum correction of serum sodium by 4 to 8 mEq/L per day, with a lower goal of 4 to 6 mEq/L per day if risk of ODS is high Limits not to exceed For high risk of ODS: 8 mEq/L in any 24-hour period For normal risk of ODS: 10-12 mEq/L In any 24-hour period; 18 mEq/L in any 48-hour period ODS: osmotic demyelination syndrome Source: Reference 6
Major finding: In patients with chronic hyponatremia, the adjusted odds ratio for developing osteoporosis was 3.
These adaptive mechanisms may prevent some patients with chronic hyponatremia from developing cerebral edema, and they remain relatively symptom free (Batcheller, 1994).
overly rapid correction of chronic hyponatremia can produce severe neurologic problems and death.
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