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Anästhesiologische Beurteilung des Patienten: Wasser- und Elektrolythaushalt

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Die Anästhesiologie

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Zusammenfassung

Ein störungsfreies Gleichgewicht (Homöostase) des Wasser- und Elektrolythaushalts ist von großer Bedeutung. Veränderungen können zu ernsthaften Problemen führen. Die Symptomatik von Störungen ist meist unspezifisch und vielfältig. Nur die Betrachtung mehrerer Parameter gemeinsam erlaubt eine sinnvolle Beurteilung. Elektrolytstörungen führen häufig zu Herzrhythmusstörungen oder neurologischen Symptomen. Eine Hyperhydratation kann zum Beispiel einen Hypertonus und Ödeme verursachen, eine ausgeprägte Exsikkose führt zu trockenen Mundschleimhäuten und vermindertem Hautturgor – bis hin zu „stehenden Hautfalten“. Die Therapie der wesentlichen Störungen des Wasser- und Elektrolythaushalts werden in diesem Kapitel erörtert.

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Authors and Affiliations

  1. Klinikum Kempten, Klinikverbund Kempten-Oberallgäu gGmbH, Klinik für Anästhesie, Intensivmedizin und Notfallmedizin, Kempten, Deutschland

    Ralf Renner & Mathias Haller

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  1. Ralf Renner
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  2. Mathias Haller
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Correspondence to Ralf Renner .

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Editors and Affiliations

  1. Klinik für Anästhesiologie, Universitätsklinikum Aachen RWTH Aachen, Aachen, Germany

    Rolf Rossaint

  2. Klinik für Anästhesiologie, Universitätsklinikum Mainz, Mainz, Germany

    Christian Werner

  3. Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum München Klinikum Großhadern, München, Germany

    Bernhard Zwißler

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  1. Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Klinik für Anästhesiologie, Mainz, Deutschland

    Christian Werner

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Renner, R., Haller, M. (2019). Anästhesiologische Beurteilung des Patienten: Wasser- und Elektrolythaushalt. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54507-2_10

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  • DOI: https://doi.org/10.1007/978-3-662-54507-2_10

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