Hyponatremia management in the light of current guidelines

Year 2018, Volume: 10 Issue: 1, 68 - 72, 01.03.2018

İrfan Karahan Çağlar Alp Aydın Çifci

https://doi.org/10.21601/ortadogutipdergisi.328101

Abstract

Hyponatraemia
is the most common electrolyte disorder in hospitalized patients, defined as
serum sodium level below 135 mmol / L. This electrolyte disorder is associated
with increased mortality,  morbidity and prolonged
hospital admission. Especially in the elderly, patients with severe symptoms
may require rapid evaluation and intervention. Different disciplines can have
different approaches and this prevents the standard approach. Clinical
evaluation is usually overlooked and patients are trying to treat more
laboratory tests. For this purpose, guides have been established with the aim
of collecting approaches in a certain standard with the participation of many
institutions. In this article we aimed at presenting practical approaches to
hyponatremia by reviewing the guidelines.

Keywords

Hyponatremia management, current guidelines, diagnosis, treatment

Güncel kılavuzlar ışığında hiponatremi yönetimi

Abstract

Hiponatremi
serum sodyum düzeyinin 135 mmol/L altında olması olarak tanımlanan ve hastanede
yatan hastalarda en sık görülen elektrolit bozukluğudur. Bu elektrolit
bozukluğu artmış mortalite, morbidite ve uzamış hastane yatışı ile ilgilidir.
Özellikle yaşlılarda, şiddetli semptomu olan hastalarda hızlı değerlendirme ve
müdahale gerekebilmektedir. Farklı disiplinlerin farklı yaklaşımları
olabilmekte ve bu durum standart yaklaşım olmasını engellemektedir. Genellikle
klinik değerlendirme gözardı edilmekte hastadan çok laboratuvar tetkikleri
tedavi edilmeye çalışılmaktadır. Bu amaçla birçok derneğin katılımıyla
yaklaşımları belli bir standartta toplamak amacıyla kılavuzlar oluşturulmuştur.
Biz bu yazıda kılavuzları gözden geçirerek hiponatremiye uygun yaklaşımları
pratik bir şekilde sunmayı amaçladık. 

Keywords

Hiponatremi yönetimi, güncel kılavuzlar, tanı, tedavi

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