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Hypernatraemia in critically ill patients

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Hypernatraemia in critically ill patients: too little water and too much salt
Nephrology Dialysis Transplantation, 04/24/08

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Hoorn EJ et al. - Hypernatraemia seems to develop in the ICU because various factors promote renal water loss, which is then corrected with too little water or overcorrected with relatively hypertonic fluids. Therapy should therefore rely on adding electrolyte-free water and/or creating a negative sodium balance. Adjustments in intravenous fluid regimens may prevent hypernatraemia.

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