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Updated: May 24, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
[The pitfall "dehydration" and hyponatremia]
1FEK Friedrich-Ebert-Krankenhaus Neumünster/Bad Bramstedt, Friesenstr. 11, 24534, Neumünster, Deutschland. werner.hofmann@fek.de
Abstract:
Hyponatremia represents a very common disturbance in hospitalized eldery. It correlates with delirium, falls, and intrahospital mortality. Often hyponatremia is ignored or missclassified. The represented algorithm is based on only a few parameters: serum and urine osmolality, and sodium. Treatment of the underlying causes of hyponatremia, e.g., cessation of medications and polypharmacy, is essential. The syndrome of inadequate secretion of antidiuretic hormone (SIADH; hypotonic isovolemic hyponatremia) is also considered.
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