Control of fluid balance and osmolarity disorders in the cerebral pathology
Neurologically injured patients are at risk for osmolarity disorders. This is due to the fact that the brain controls the complex mechanism of the overall fl uid balance and also possesses the capacity to locally minimize the plasma tonicity disturbances (cerebral osmoregulation). Perioperative flu...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2010-03-01
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| Series: | Romanian Journal of Neurology |
| Subjects: | |
| Online Access: | https://rjn.com.ro/articles/2010.1/RJN_2010_1_Art-01.pdf |
| _version_ | 1798019689493823488 |
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| author | Eva Gheorghita Cristina Bucur Luminita Neagoe |
| author_facet | Eva Gheorghita Cristina Bucur Luminita Neagoe |
| author_sort | Eva Gheorghita |
| collection | DOAJ |
| description | Neurologically injured patients are at risk for osmolarity disorders. This is due to the fact that the brain controls the complex mechanism of the overall fl uid balance and also possesses the capacity to locally minimize the plasma tonicity disturbances (cerebral osmoregulation).
Perioperative fluid administration, mannitol use, syndrome of inappropriate antidiuretic hormone and cerebral salt-wasting syndrome are potential causes of hyponatremia. Enteral tube feeding, osmotic diuresis and insipid diabetes are potential causes of hypernatremia. Severe hyponatremia or severe hypernatremia have various neurological consequences. On the other hand, correction of these disorders must be done slowly, to avoid precipitating central pontine myelinolysis (for the case of correction of hyponatremia) or to avoid producing cerebral edema (for the case of correction of hypernatremia). |
| first_indexed | 2024-04-11T16:44:57Z |
| format | Article |
| id | doaj.art-533725e9dee145fcab87f029d6358222 |
| institution | Directory Open Access Journal |
| issn | 1843-8148 2069-6094 |
| language | English |
| last_indexed | 2024-04-11T16:44:57Z |
| publishDate | 2010-03-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Neurology |
| spelling | doaj.art-533725e9dee145fcab87f029d63582222022-12-22T04:13:36ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942010-03-019151210.37897/RJN.2010.1.1Control of fluid balance and osmolarity disorders in the cerebral pathologyEva Gheorghita0Cristina Bucur1Luminita Neagoe2ICU Department, “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, RomaniaICU Department, “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, RomaniaICU Department, “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, RomaniaNeurologically injured patients are at risk for osmolarity disorders. This is due to the fact that the brain controls the complex mechanism of the overall fl uid balance and also possesses the capacity to locally minimize the plasma tonicity disturbances (cerebral osmoregulation). Perioperative fluid administration, mannitol use, syndrome of inappropriate antidiuretic hormone and cerebral salt-wasting syndrome are potential causes of hyponatremia. Enteral tube feeding, osmotic diuresis and insipid diabetes are potential causes of hypernatremia. Severe hyponatremia or severe hypernatremia have various neurological consequences. On the other hand, correction of these disorders must be done slowly, to avoid precipitating central pontine myelinolysis (for the case of correction of hyponatremia) or to avoid producing cerebral edema (for the case of correction of hypernatremia).https://rjn.com.ro/articles/2010.1/RJN_2010_1_Art-01.pdfosmolaritytonicityhypersodemiahyposodemiamannitolinsipid diabetescerebral edemawater balance |
| spellingShingle | Eva Gheorghita Cristina Bucur Luminita Neagoe Control of fluid balance and osmolarity disorders in the cerebral pathology Romanian Journal of Neurology osmolarity tonicity hypersodemia hyposodemia mannitol insipid diabetes cerebral edema water balance |
| title | Control of fluid balance and osmolarity disorders in the cerebral pathology |
| title_full | Control of fluid balance and osmolarity disorders in the cerebral pathology |
| title_fullStr | Control of fluid balance and osmolarity disorders in the cerebral pathology |
| title_full_unstemmed | Control of fluid balance and osmolarity disorders in the cerebral pathology |
| title_short | Control of fluid balance and osmolarity disorders in the cerebral pathology |
| title_sort | control of fluid balance and osmolarity disorders in the cerebral pathology |
| topic | osmolarity tonicity hypersodemia hyposodemia mannitol insipid diabetes cerebral edema water balance |
| url | https://rjn.com.ro/articles/2010.1/RJN_2010_1_Art-01.pdf |
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