Yaşli Popülasyonda Hiponatremiye Yaklaşim

Yıl 2024, Cilt: 19 Sayı: 2, 85 - 90, 22.07.2024

Dilek Tüzün

https://doi.org/10.17517/ksutfd.1206810

Öz

Hiponatremi hem hastanede yatan hastalarda hem de normal popülasyonda en sık görülen elektrolit bozukluğudur. Hiponatremi prevalansı popülasyonda yaklaşık %8'dir ve yaşla birlikte önemli ölçüde artar. Yaşlı hastalarda hiponatremi gelişiminde sıklıkla birden fazla faktör rol oynar. Yaşlıların hiponatremi geliştirme eğilimi, esas olarak yaşlanma ve hiponatremi ile ilişkili ilaçlara ve hastalıklara sık maruz kalma ile ilişkili bozulmuş su atılım kapasitesine bağlanır. Akut semptomatik hiponatremide, serum sodyum seviyelerini akut olarak artırmak ve ciddi nörolojik semptomları önlemek için yaygın olarak hipertonik salin solüsyonu kullanılır. Kronik hiponatremide, serum sodyum konsantrasyonunun düzeltme hızı 10 mEq/L/24 saat ile ve daha güvenli bir şekilde 6-8 mEq/L/24 saat ile sınırlandırılmalıdır. Yaşlı popülasyonda hiponatreminin hem değerlendirilmesi hem de tedavisi zor olduğundan çok dikkatli bir değerlendirme gereklidir.

Anahtar Kelimeler

Hiponatremi, geriatri, ilaçlar

Proje Numarası

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Approach to Hyponatremia in the Elderly Population

Öz

Hyponatremia is the most common electrolyte disorder in both hospitalized patients and the normal population. The prevalence of hyponatremia is approximately 8% in the population and increases significantly with age. In older patients, more than one factor often plays a role in the development of hyponatremia. The tendency of the elderly to develop hyponatremia is mainly attributed to impaired water excretion capacity associated with aging and frequent exposure to drugs and diseases associated with hyponatremia. In acute symptomatic hyponatremia, hypertonic saline solution is commonly used to acutely increase serum sodium levels and prevent severe neurological symptoms. In chronic hyponatremia, the rate of correction of serum sodium concentration should be limited to 10 mEq/L/24 h and more safely to 6–8 mEq/L/24 h. Since both the evaluation and treatment of hyponatremia are difficult in the older population, very careful evaluation is required.

Anahtar Kelimeler

Hyponatremia, geriatrics, drugs

Destekleyen Kurum

YOK

Proje Numarası

-

Teşekkür

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Kaynakça

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