Hypernatremia in the geriatric population

Maulin K Shah,1 Biruh Workeneh,1,2 George E Taffet1,3 1Department of Internal Medicine, 2Department of Nephrology, 3Huffington Center on Aging, Baylor College of Medicine, Houston, TX, USA Abstract: Hypernatremia in the geriatric population is a common disorder associated with si...

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Autores principales: Shah MK, Workeneh B, Taffet GE
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
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Acceso en línea:https://doaj.org/article/c2f4180055ed48f5a4a47fcb211f5c70
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spelling oai:doaj.org-article:c2f4180055ed48f5a4a47fcb211f5c702021-12-02T07:07:54ZHypernatremia in the geriatric population1178-1998https://doaj.org/article/c2f4180055ed48f5a4a47fcb211f5c702014-11-01T00:00:00Zhttps://www.dovepress.com/hypernatremia-in-the-geriatric-population-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Maulin K Shah,1 Biruh Workeneh,1,2 George E Taffet1,3 1Department of Internal Medicine, 2Department of Nephrology, 3Huffington Center on Aging, Baylor College of Medicine, Houston, TX, USA Abstract: Hypernatremia in the geriatric population is a common disorder associated with significant morbidity and mortality. Older people are predisposed to developing hypernatremia because of age-related physiologic changes such as decreased thirst drive, impaired urinary concentrating ability, and reduced total body water. Medications may exacerbate this predisposition. Hypernatremia and dehydration occurring in nursing homes are considered indicators of neglect that warrant reporting, but there are other nonavoidable causes of hypernatremia, and consideration at time of presentation is essential to prevent delay in diagnosis and management. We describe a case illustrating the importance of the consideration of alternate explanations for hypernatremia in a nursing home resident, followed by a review of hypernatremia in the elderly population, to underscore that neglect is the etiology of exclusion after alternatives have been considered. Keywords: geriatric, hypernatremia, sodiumShah MKWorkeneh BTaffet GEDove Medical PressarticleThirstNeglectdehydrationdiabetes insipidusGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1987-1992 (2014)
institution DOAJ
collection DOAJ
language EN
topic Thirst
Neglect
dehydration
diabetes insipidus
Geriatrics
RC952-954.6
spellingShingle Thirst
Neglect
dehydration
diabetes insipidus
Geriatrics
RC952-954.6
Shah MK
Workeneh B
Taffet GE
Hypernatremia in the geriatric population
description Maulin K Shah,1 Biruh Workeneh,1,2 George E Taffet1,3 1Department of Internal Medicine, 2Department of Nephrology, 3Huffington Center on Aging, Baylor College of Medicine, Houston, TX, USA Abstract: Hypernatremia in the geriatric population is a common disorder associated with significant morbidity and mortality. Older people are predisposed to developing hypernatremia because of age-related physiologic changes such as decreased thirst drive, impaired urinary concentrating ability, and reduced total body water. Medications may exacerbate this predisposition. Hypernatremia and dehydration occurring in nursing homes are considered indicators of neglect that warrant reporting, but there are other nonavoidable causes of hypernatremia, and consideration at time of presentation is essential to prevent delay in diagnosis and management. We describe a case illustrating the importance of the consideration of alternate explanations for hypernatremia in a nursing home resident, followed by a review of hypernatremia in the elderly population, to underscore that neglect is the etiology of exclusion after alternatives have been considered. Keywords: geriatric, hypernatremia, sodium
format article
author Shah MK
Workeneh B
Taffet GE
author_facet Shah MK
Workeneh B
Taffet GE
author_sort Shah MK
title Hypernatremia in the geriatric population
title_short Hypernatremia in the geriatric population
title_full Hypernatremia in the geriatric population
title_fullStr Hypernatremia in the geriatric population
title_full_unstemmed Hypernatremia in the geriatric population
title_sort hypernatremia in the geriatric population
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/c2f4180055ed48f5a4a47fcb211f5c70
work_keys_str_mv AT shahmk hypernatremiainthegeriatricpopulation
AT workenehb hypernatremiainthegeriatricpopulation
AT taffetge hypernatremiainthegeriatricpopulation
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