Zusammenfassung
Störungen des Flüssigkeits- und des Elektrolythaushaltes sind im höheren Lebensalter nicht ungewöhnlich. Endogene Faktoren, geänderte Lebensumstände, Krankheiten, aber auch iatrogene Eingriffe sind für solche Störungen verantwortlich (Miller 1991). Ob es nun zu einer Veränderung der Flüssigkeitshomeostase oder zu einer Störung im Elektrolythaushalt kommt, stets wird das gesamte System des Flüssigkeits- und Elektrolythaushaltes in Mitleidenschaft gezogen (Tragi 1986, Miller 1987).
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Literatur
Adams KRH, Martin JA (1991) Electrolyte disorder in the elderly. Drugs Aging 1: 254–265
Agus ZS, Wasserstein A, Goldfarb S (1982) Disorders of calcium and magnesium homestasis. Am J Med 72: 473–488
Booker JA (1984) Severe symptomatic hyponatremia in elderly outpatients: the role of thiazide therapy and stress. J Am Geriatr Soc 32: 108–113
Cohen BJ, Mahelsky M, Adler L (1990) More cases of SIADH with fluxetine. Am J Psychiatry 147: 948–949
Crane MG, Harris JJ (1976) Effect of aging on renin activity and aldosteron secretion. J Lab Clin Med 87: 947–959
Crowe MJ, Forsling ML, Rolls BJ, Phillips PA, Ledingham JGG, Smith RF (1987) Altered water excretion in healthy elderly men. Age Ageing 16: 285–293
Data JL, Chang LC, Nies AS (1976) Alteration of canine renal vascular response to hemorrhage by inhibitors of Prostaglandin synthesis. Am J Physiol 230: 940–945
Davidson YS, Fotheringham AP, Davies I, Morris JA (1995) Age-related postreceptor mechanisms: changes in adenylate cyclase but not Phosphodiesterase in isolated mouse renal medullary collecting ducts. Exp Gerontol 30: 594–604
Davies I, O’Neill PA, McLean KA, Catania J, Bennett D (1995) Age-associated alterations in thirst and arginine Vasopressine in response to a water or sodium load. Age Ageing 24: 151–159
Epstein M, Hollenberg NK (1976) Age as determinant of renal sodium conservation in normal man. J Lab Clin Med 87: 411–417
Goldstein CS, Braunstein S, Goldfarb S (1983) Idiopathic syndrome of inappropriate antidiuretic hormone secretion possibly related to advanced age. Ann Intern Med 99: 185–188
Gribbin B, Pickering TG, Sleight P, Peto R (1971) Effect of age and high blood pressure on baroreflex sensitivity in man. Circul Res 29: 424–431
Heath H, Hodgson SF, Kennedy MA (1980) Primary hyperparathyroidism. Incidence, morbidity and potential economic impact in a community. N Engl J Med 302: 189–193
Januszewicz W, Heinemann H, Demartini F, Laragh JH (1959) A clinical study of effects of hydrochlorothiazide on renal excretion of electrolyte and free water. N Engl J Med 261: 264–269
Klingler C, Preisser L, Barrault MB, Lluel P, Horgen L, Teiltet L, Ancellin N, Corman B (1997) Vasopressin V2 receptor mRNA expression and cAMP accumulation an aging rat kidney. Am J Physiol 272: R1775–R1782
Laragh JH (1985) Atrial natriuretic hormone, the renin-aldosterine axis, and blood pressureelectrolyte homeostasis. N Engl J Med 313: 1330–1340
Lavizzo-Mourey R, Johnson J, Stolley P (1988) Risk factors for dehydration among elderly nursing home residents. J Am Geriatr Soc 36: 213–218
Lawson DH, Henry DA, Lowe JM, Gray JMB, Morgan G (1979) Severe hypokalaemia in hospitalized patients. Arch Intern Med 139: 978–980
Leaf A (1984) Dehydration in the elderly. N Engl J Med 311: 791–792
Lindeman RD, Lee TD, Yiengst MJ, Shock NW (1966) Influence of age, renal disease, hypertension, diuretics and calcium on the antidiuretic responses to suboptimal infusions of Vasopressin. J Lab Clin Med 68: 206–223
Mahowald J, Himmelstein D (1981) Hypernatremia in the elderly: relation to infection and mortality. J Am Geriatr Soc 29: 177–182
Miller M (1987) Fluid and electrolyt balance in the elderly. Geriatrics 42/11: 65–76
Miller M, Gold GC, Friedlander DA (1991) Physiological changes of aging affecting salt and water balance. Rev Clin Gerontol 1: 215–230
Miller M, Hecker MS, Friedlander DA, Carter JM (1996) Apparent idiopathic hyponatremia in an ambulatory geriatric population. J Am Geriatr Soc 44: 404–408
Narins RG, Jones ER, Stom EC, Rudnick MR, Bastl CB (1982) Diagnostic strategies in disorders of fluid, electrolyte and acid-base homeostasis. Am J Med 72: 496–520
Nijjar T, Brandes LJ (1983) Bleomycin for hypercalcemia due to cancer. N Engl J Med 308: 655
Ohashi M, Fujio N, Nawata H (1987) High plasma concentrations of human atrial natriuretic Polypeptide in aged men. J Clin Endocrinol Metab 64: 81–85
Phillips PA, Johnston CI, Gray L (1993) Disturbed fluid and electrolyte homeostasis following dehydration in elderly people. Age Ageing 22: S26–S33
Ralston S, Fogelman I, Gardner MD, Boyle IT (1982) Hypercalcaemia and metastatic bone disease: is there a causal link? Lancet ii: 903–905
Sica DA, Hartford A (1985) Sodium and water disorders in the elderly. In: Zawade ET, Sica DA (eds) Geriatric nephrology and urology. Littleton
Slovik DM, Adams JS, Neer RM, Holick MF, Potts JT (1981) Deficient production of 1, 25-dihydroxyvitamin D in elderly osteoporotic patients. N Engl J Med 305: 372–374
Steen B, Lundgren BK, Isaksson B (1985) Body water in the elderly. Lancet i: 101
Surawicz B (1967) Relationship between electrocardiogram and electrolytes. Am Heart J 73: 814–834
Tragl KH (1986) Störungen des Elektrolytstoffwechsels im Alter. Fortschr Med 104: 223–227
Tsunoda K, Abe K, Goto T, Yasujima M, Sato M, Omata Scino M, Yoshinaga K (1986) Effect of age on the renin-angiotensin-aldosterone system in normal subjects: simultaneous measurement of active and inactive renin, renin substrate, and aldosterone in plasma. J Clin Endocrinol Metab 62: 384–389
Weidmann P, de Chatel R, Schiffman A, Bachmann E, Beretta-Piccoli C, Reubi FC, Ziegler WH, Vetter W (1973) Interrelations between age and plasma renin, aldosteron and cortisol, urinary catecholamines, and the body state in normal man. Klin Wochenschr 55: 725–733
Weinberg AD, Minaker KL, and the Council on Scientific Affairs, American Medical Association (1995) Dehydration. Evaluation and management in older adults. J Am Med Assoc 274: 1552–1556
Weissmann P, Shenkman L, Gregerman RI (1971) Chlorpropamide hyponatremia: drug induced inappropriate antidiuretic hormone activity. N Engl J Med 284: 65–74
Zumkley H, Losse H (1977) Klinik und Therapie der Hyperkalzämie. Med Klinik 72: 1151–1162
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Tragl, K.H. (1999). Störungen des Flüssigkeits- und des Elektrolythaushaltes. In: Handbuch der Internistischen Geriatrie. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6409-9_7
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DOI: https://doi.org/10.1007/978-3-7091-6409-9_7
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