title: [Prevention of hospital-acquired hyponatremia].
abstract: The hospitalized patient is at risk of hyponatraemia caused by reduced electrolyte free water clearance and prescription of hypotonic fluids. Hospital-acquired hyponatraemia is common and associated with increased mortality/morbidity. Hyponatraemia in itself can cause severe cerebral symptoms. Small decreases in P-[Na⁺] in patients with reduced intracranial compliance (e.g. meningitis) can be dangerous. To reduce iatrogenic hyponatraemia the understanding of P-[Na+] is fundamental. Next, meticulously prescription of fluid amount/quality and reevaluation as with any other drug is of paramount importance.
authors.forename: Mathilde
authors.initials: M
authors.lastname: Lunøe
authors.affiliation: Anæstesiologisk Afdeling, -Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 København NV. E-mail: christian.overgaard.Steensen@ki.au.dk.
authors.forename: Christian
authors.initials: C
authors.lastname: Overgaard-Steensen
mesh_terms: D002412:Cations / Q000378:metabolism; D005440:Fluid Therapy; D006801:Humans; D007010:Hyponatremia / Q000150:complications / Q000209:etiology / Q000517:prevention & control*; D007049:Iatrogenic Disease / Q000517:prevention & control*; D011188:Potassium / Q000378:metabolism; D012964:Sodium / Q000378:metabolism; D014882:Water-Electrolyte Balance / Q000502:physiology
chemical_list: D002412:Cations; D012964:Sodium; D011188:Potassium