Hyponatremia and hypernatremia are conditions related to sodium imbalance in the blood:
Hyponatremia
Definition:
Low sodium levels in the blood (<135 mEq/L).
Causes:
Excess water intake, heart failure, kidney disease, liver disease, SIADH (syndrome of inappropriate antidiuretic hormone), diuretics.
Symptoms:
Nausea, headache, confusion, seizures, muscle weakness, coma (in severe cases).
Treatment:
Fluid restriction, saline infusion, addressing the underlying cause.
Hypernatremia
Definition:
High sodium levels in the blood (>145 mEq/L).
Causes:
Dehydration, excessive salt intake, diabetes insipidus, kidney dysfunction.
Symptoms:
Thirst, confusion, irritability, muscle twitching, seizures, coma (in severe cases).
Treatment:
Rehydration with hypotonic fluids (orally or IV), treating the underlying cause.
The key difference is that hyponatremia results from excess water relative to sodium, while hypernatremia results from a deficit of water relative to sodium.
Definition and Sodium Balance
Sodium is a crucial electrolyte that helps regulate fluid balance, nerve function, and muscle contractions. Hyponatremia occurs when blood sodium levels drop below 135 mEq/L, while hypernatremia happens when levels exceed 145 mEq/L. Both conditions can lead to serious complications if left untreated.
Causes and Risk Factors
Hyponatremia is often caused by excessive water intake, heart failure, kidney or liver disease, SIADH, or diuretics that flush out sodium. In contrast, hypernatremia typically results from dehydration, excessive salt intake, diabetes insipidus, or impaired kidney function, which leads to water loss.
Symptoms and Complications
In hyponatremia, symptoms include nausea, headaches, confusion, seizures, and in severe cases, coma. Hypernatremia presents with intense thirst, restlessness, muscle twitching, confusion, and potential seizures. Both conditions can be life-threatening if not promptly managed.
Treatment and Management
Hyponatremia is treated by restricting fluids, administering saline, or addressing the underlying cause. Hypernatremia requires careful rehydration with hypotonic fluids to prevent brain swelling. Identifying and managing the root cause is essential in both conditions to prevent complications and maintain electrolyte balance.
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