Document Detail

Hyper- and hyponatremia among geropsychiatric inpatients.
MedLine Citation:
PMID:  7916938     Owner:  NLM     Status:  MEDLINE    
We report our experience treating 14 elderly psychiatric patients with altered sodium states. Hypernatremia occurs more commonly among elderly psychiatric patients than among their younger counterparts, and elderly hypernatremic psychiatric patients suffer most commonly from dementia. Dilutional hyponatremia is less common and less severe among elderly schizophrenic patients compared with younger patients with schizophrenia. Central nervous system changes induced by altered sodium states among elderly psychiatric patients are sufficiently similar whether hyper- or hyponatremia is present; therefore, the clinician must not wait for specific features to develop, but must quickly measure serum sodium concentration in elderly psychiatric patients with altered mental states. Treatment of hypernatremia involves rehydration with normal saline or hypotonic solutions, and treatment of dilutional hyponatremia largely involves fluid restriction.
V Vieweg; A Lombana; R Lewis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of geriatric psychiatry and neurology     Volume:  7     ISSN:  0891-9887     ISO Abbreviation:  J Geriatr Psychiatry Neurol     Publication Date:    1994 Jul-Sep
Date Detail:
Created Date:  1994-10-27     Completed Date:  1994-10-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8805645     Medline TA:  J Geriatr Psychiatry Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  148-52     Citation Subset:  IM    
Piedmont Geriatric Hospital, Department of Mental Health, Commonwealth of Virginia, Burkeville.
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MeSH Terms
Age Factors
Dementia / blood,  diagnosis
Diagnosis, Differential
Fluid Therapy
Geriatric Assessment
Hypernatremia / diagnosis,  epidemiology*,  therapy
Hyponatremia / diagnosis,  epidemiology*,  therapy
Mental Disorders / blood*,  diagnosis,  epidemiology
Schizophrenia / blood,  epidemiology
Sodium / blood
Reg. No./Substance:

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