Present possibilities of monitoring the effectiveness of hyponatremia therapy

Česká verzia

Authors: Miroslava Horáčková; Lenka Vítová; Ondřej Pátek; Otto Schück
Authors place of work: Interní klinika 2. LF UK a FN v Motole, Praha
Published in the journal: Vnitř Lék 2016; 62(Suppl 6): 106-111
Category: Case Reports

Summary

Changes to the overall volume of body water and acid base equilibrium can be reflected in the values of differences and ratios relating to serum concentrations of natrium and chlorides. Both these quantities can be used for patients with hyponatremia in the hyponatremia differential diagnosis. This paper presents a case study which is an example of the clinical use of differences in and ratios of serum concentrations of natrium and chlorides when monitoring effectiveness of the therapy.

Key words:
acid base equilibrium – depletion hyponatremia – differential diagnosis of hyponatremia – dilution hyponatremia

Zdroje

1. Schück O, Horáčková M. Diference a poměr sérových koncentrací natria a chloridů u pacientů s hyponatremií. Vnitř Lék 2016; 62(7–8): 629–634.

2. Spasovsky G, Vanholder R, Allolio B et al. Clinical practice guidelines on diagnosis and treatment of hyponatremia. Nephrol Dial Transplant 2014; (Suppl 2): i1-i39. Dostupné z DOI: <http://dx.doi.org/10.1093/ndt/gfu040>.

3. Pirzada NA, Ali II. Central pontine myelinolysis. Mayo Clin Proc 2001; 76(5): 559–562.

4. Hoorn EJ, Zietse R. Hyponatremia revisited: translating physiology to practice. Nephron Physiol 2008; 108(3): 46–59. Dostupné z DOI: <http://dx.doi.org/10.1159/000119709>.

5. Androgue HJ, Madias NE. Hyponatremia. New Engl J Med 2000; 342(21): 1581–1589.

6. Reneboog B, Musch W, Vandemergel X et al. Mild chronic hyponatremia is associated with falls, unsteadiness, and attention deficits. Am J Med 2006; 119(1): 71.e1-e8.

7. Wald R, Jaber BL, Price LL et al. Impact of hospital-associated hyponatremia on selected outcomes. Arch Int Med 2010; 170(3): 294–302. Dostupné z DOI: <http://dx.doi.org/10.1001/archinternmed.2009.513>.

8. Arieff AI. Hyponatremia, convulsions, Respiratory arrest, permanent Brain damage after elective surgery in healthy women. New Engl J Med 1986; 314(24): 1529–1535.

9. Ayus JS, Wheeler JM, Arieff AI. Postoperative hyponatremic encephalopathy in menstruant women. Ann Int Med 1992; 117(11): 891–897.

10. Hsu YJ, Chiu JS, Lu KC et al. Biochemical and etiological characteristics of acute hyponatremia in the emergency department. J Emerg Med 2005; 29(4): 369–374.

11. Sterns RH. Treating hyponatremia: why haste makes waste. South Med J 1994: 87(12): 1283–1287.

12. Horn EJ, Halperin MI, Zietse R. Diagnostic approach to patients with hyponatremia: traditional versus physiology based options. QJM 2005; 98(7): 529–540.

13. Chung HM, Kluge R, Schrier RW et al. Clinical assessment of extracellular fluid volume in hyponatremia. Am J Med1987; 83(5): 905–908.

14. McGee S, Abernethy WB, Simel DL. The rational clinical examination. Is this patient hypovolemic? JASN 1999; 281(11): 1022–1029.

15. Kříž J, Schück O, Horáčková M. Hyponatremia in spinal cord injury patients: a new insight in to differentiating the dilution and depletion form. Spinal Cord 2015; 53(4): 291–296. Dostupné z DOI: <http://dx.doi.org/10.1038/sc.2014.240>.

16. Schrier RW, Bansal S. Diagnosis and management of hyponatremia in acute illness. Curr Opin Crit Care 2008; 14(6): 627–634. Dostupné z DOI: <http://dx.doi.org/10.1097/MCC.0b013e32830e45e3>.

17. Swart RM, Hoorn E, Betjes MB et al. Hyponatremia and inflammation: The emerging role of interleukin-6 in osmoregulation. Nephron Physiol 2011; 118(2): 45–51. Dostupné z DOI: <http://dx.doi.org/10.1159/000322238>.

18. Park SJ, Shin JI. Inflammation and hyponatremia: an underrecognized condition? Korean J Pediatr 2013; 56(12): 519–522. Dostupné z DOI: <http://dx.doi.org/10.3345/kjp.2013.56.12.519>.