Neurologic Intensive Care Unit Electrolyte Management.

Craig Hutto, Mindy French

Journal: The Nursing clinics of North America 2017;52(2):321-329

PMID: 28478880

Full Text on Elsevier Science View on PubMed

Abstract

Dysnatremia is a common finding in the intensive care unit (ICU) and may be a predictor for mortality and poor clinical outcomes. Depending on the time of onset (ie, on admission vs later in the ICU stay), the incidence of dysnatremias in critically ill patients ranges from 6.9% to 15%, respectively. The symptoms of sodium derangement and their effect on brain physiology make early recognition and correction paramount in the neurologic ICU. Hyponatremia in brain injured patients can lead to life-threatening conditions such as seizures and may worsen cerebral edema and contribute to alterations in intracranial pressure.

Address: Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Road, Portland, OR 97239, USA. Electronic address: [email protected].; Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Road, Portland, OR 97239, USA. Electronic address: [email protected].

DOI: 10.1016/j.cnur.2017.01.009

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MeSH Terms: Critical Care, Humans, Hypernatremia, Hyponatremia, Water-Electrolyte Balance