Renal, Fluid & Electrolyte Physiology | Metabolic Disorders in Critical Care
Dysnatremia incidence in the ICU over two decades: hypernatremia increases, hyponatremia decreases
Annemieke Oude Lansink*, Ewout Hoorn, Miriam Hoekstra, Stephan Bakker, Maarten Nijsten
*Corresponding author: Annemieke Oude Lansink
Intensive Care Adults, University Medical Center Groningen (UMCG), Groningen, Netherlands
F1000Posters 2013, 4: 97 (poster) [English]
Poster [325.06 KB]
NVIC Nederlandse Intensivistendagen (Dutch Society of Intensive Care Meeting) 2013, 13 - 15 Feb 2013, P000
University Medical Center Groningen (UMCG)
Dysnatremias (hyponatremia and hypernatremia) are common findings on admission of patients to the intensive care unit (ICU). Historically, most attention has been focused on hyponatremia, as it was more common.
The shift from hyponatremia to hypernatremia may be due to changes in therapy, especially because dysnatremia is usually ICU-acquired. Possible iatrogenic causes include the increased use of isotonic IV-fluids, which are often hypertonic to the urine, and increased use of hydrocortisone.
No relevant competing interests disclosed.
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