Abstract
In the critically ill we often observe some dysregulation of the fluid/electrolyte balance; far from being an innocent bystander, the intensivist could sometimes be responsible for that, due to overzealous corrections, drugs interferences, or “cosmetic” approach to the problem. In this short review, we will try to recall some basic principles that could help to improve the therapeutic strategies.
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References
Lang F, Ritter M, Volkl M (1993) The biological significance of cell volume. Renal Physiol Biochem 16: 48–56
Snyder NA, Feigal DW, Arieff AI (1987) Hypernatremia in elderly patients: a heterogeneous, morbid and iatrogenic entity. Ann Int Med 107: 309–314
Kinne RKH, Ruhfus B, Tinel H et al (1995) Renal organic osmolytes: signal transduction pathways and release mechanisms. In: De Santo NG, Capasso G (eds) Acid base and electrolyte balance. IISS 237–242
Daugirdas JT, Kronfol NO (1989) Hyperosmolar coma: cellular dehydration and the serum sodium concentration. Ann Intern Med 110: 855–857
Lewis SA, Donaldson P (1990) Ion channels and cell volume regulation: chaos in an organized system. News in Physiological Sciences 5: 112–118
Schrier RW (1988) Pathogenesis of sodium and water retention in high output and low output cardiac failure, nephrotic syndrome, cirrhosis and pregnancy. N Engl J Med 319: 1065–1073
Vin-Christian K, Arieff AI (1993) Diabetes insipidus, massive polyuria and hypernatremia leading to permanent brain damage. Am J Med 94: 341–345
Arieff AI, Guisado R (1976) Effects on the central nervous system of hypernatremic and hy-ponatremic states. Kidney Int 10: 104–111
Lien YHH, Shapiro JI, Chan L (1990) Effects of hypernatremia on organic brain osmoles. J Clin Invest 85: 1427–1433
Elisaf M, Litou H, Siamopoulos KC (1989) Survival after severe iatrogenic hypernatremia. Am J Kidney Disease 14: 230–234
Cserr HF, De Pasquale, Patlak CS (1987) Regulation of brain water and electrolytes during acute hyperosmolality in rats. Am J Physiol 253:F522–F526
Haussinger D, Roth E, Lang F, Gerok V (1993) Cellular hydration state: an important determinant of protein catabolism in health and disease. Lancet 341: 1330–1333
Ayus JC, Krothapalli R, Freiberg M (1990) Role of hypercatabolism in mortality associated with chronic hypernatremia in rats. Kidney Int 36: 263–266
Levine SN, Sanson TH (1989) Treatment of hyperglycaemic hyperosmolar non-ketotic syndrome. Drugs 38: 462–472
Rose BD (1986) New approach to disturbances in the plasma sodium concentration. Am J Med 81: 1033–1040
Weisberg LS (1989) Pseudohyponatremia: a reappraisal. Am J Med 86: 315–318
Adrogue H, Madias NE (2000) Hypernatremia. N Engl J Med 342: 1493–1499
Lustman CC, Guerin JJ (1991) Hyperosmolar non ketotic syndrome associated with rhab-domyolysis and acute kidney failure. Diabetes Care 14: 146–147
Wang LM, Tsai ST (1994) Rhabdomyolysis in diabetic emergencies. Diabetes Research Clinical Practice 26 (3): 209–214
Richardson DW, Robinson AG (1985) Desmopressin. Ann Intern Med 103: 228–233
Bartter FC, Schwartz WB (1967) The syndrome of inappropriate secretion of antidiuretic hormone. Am J Med 42: 790–806
Chanson P, Jedynak CP, Dabrowski G et al (1988) Management of early postoperative diabetes insipidus with parenteral desmopressin. Acta Endocrinol 117: 513–519
Jamison RJ (1987) The renal concentrating mechanism. Kidney Int 32 [Suppl21]: S43–50
Bichet DG (1994) Nephrogenic diabetes insipidus. Semin Nephrol 14: 349–356
Berl T (1990) Treating hyponatremia: damned if we do and damned if we don’t. Kidney Int 37: 1006–1018
Lauriat SM, Berl T (1997) The hyponatremic patient: practical focus on therapy. J Am Soc Nephrol 8: 1599–1607
Adrogue H, Madias NE (2000) Hyponatremia. N Engl J Med 342: 1581–1589
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Schiraldi, F., Gaudio, S.D., Ruggiero, E.G. (2001). Fluid and Electrolyte Dynamics in the Body. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2903-3_30
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DOI: https://doi.org/10.1007/978-88-470-2903-3_30
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0136-7
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