Hyponatremia classification: Difference between revisions
| Line 89: | Line 89: | ||
* total body sodium ↓↓ | * total body sodium ↓↓ | ||
| | | | ||
* '''GI loss | * '''True volume depletion:GI loss,Renal loss,Insensible loss | ||
|'''<big>Hypervolemic</big>''' | |'''<big>Hypervolemic</big>''' | ||
'''<big>Hyponatremia</big>''' | '''<big>Hyponatremia</big>''' | ||
| Line 104: | Line 96: | ||
* total body sodium ↑ | * total body sodium ↑ | ||
| | | | ||
* '''Renal disease | * '''Decrease effective arterial volume: Cirrhosis, Renal disease, CHF | ||
|- | |- | ||
|'''<big>Euvolemic</big>''' | |'''<big>Euvolemic</big>''' | ||
| Line 116: | Line 104: | ||
* total body sodium ↔ | * total body sodium ↔ | ||
| | | | ||
* '''Drugs | * '''Drugs, Increased ADH level,Reset osmostat,Low dietary salt intake | ||
|} | |} | ||
Revision as of 23:01, 30 April 2018
|
Hyponatremia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Hyponatremia classification On the Web |
|
American Roentgen Ray Society Images of Hyponatremia classification |
|
Risk calculators and risk factors for Hyponatremia classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Saeedeh Kowsarnia M.D.[2]
Overview
There is no established system for the classification of [disease name].
OR
[Disease name] may be classified according to [classification method] into [number] subtypes/groups: [group1], [group2], [group3], and [group4].
OR
[Disease name] may be classified into [large number > 6] subtypes based on [classification method 1], [classification method 2], and [classification method 3]. [Disease name] may be classified into several subtypes based on [classification method 1], [classification method 2], and [classification method 3].
OR
Based on the duration of symptoms, [disease name] may classified as either acute or chronic.
OR
If the staging system involves specific and characteristic findings and features: According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
OR
The staging of [malignancy name] is based on the [staging system].
OR
There is no established system for the staging of [malignancy name].
Classification
Hyponatremia is defined as serum sodium less than 135 mEq/L (mmol/L) [1] .There are different classifications for hyponatremia based on duration, severity, volume status, ADH level and serum osmolality.
Hyponatremia is classified based on serum sodium level to [2] :
- Mild : Serum sodium 130– 135 mmol/L
- Moderate: Serum sodium ≤125–129 mmol/L
- Severe: Serum sodium <124 mmol/L
Classification based on duration[3] :
- Hyper acute [4]: Develops in a few hours, excess water intake, impaired water excretion, runners, users of the recreational drug (Ecstasy)
- Acute: Rapid onset <48 hours, surgeries, colonoscopy preparation, polydipsia, diuretics
- Chronic: Gradual onset >48 hours, caused by chronic disease ( including cardiac, renal, hepatic and other conditions)
( Etiologies cause hyperacute and acute hyponatremia are applicable to each category interchangeably depending on the onset of symptoms)
Classification based on ADH level :
- ↑ ADH: Volume depletion (GI loss, Renal loss) , decreased perfusion ( CHF, Cirrhosis), increased ADH secretion, reset osmostat
- ↓ ADH: Primary polydipsia, ↓ dietary solute intake, advanced renal failure
Classification based upon osmolality [5]:
- Hypertonic hyponatremia: Serum osmolality >295 mOsm/kg
- Hypotonic hyponatremia: Serum osmolality < 275 mOsm/kg
- Norotonic hyponatremia: Serum osmolality 275–295 mOsm/kg
According to volume status :
| Volume status | Sodium status | Causes | |||
|---|---|---|---|---|---|
| Hypovolemic
Hyponatremia |
|
|
Hypervolemic
Hyponatremia |
|
|
| Euvolemic
Hyponatremia |
|
|
References
- ↑ Upadhyay, Ashish; Jaber, Bertrand L.; Madias, Nicolaos E. (2006). "Incidence and Prevalence of Hyponatremia". The American Journal of Medicine. 119 (7): S30–S35. doi:10.1016/j.amjmed.2006.05.005. ISSN 0002-9343.
- ↑ Laczi, Ferenc (2008). "Etiology, diagnostics and therapy of hyponatremias". Orvosi Hetilap. 149 (29): 1347–1354. doi:10.1556/OH.2008.28409. ISSN 0030-6002.
- ↑ Sterns, Richard H.; Ingelfinger, Julie R. (2015). "Disorders of Plasma Sodium — Causes, Consequences, and Correction". New England Journal of Medicine. 372 (1): 55–65. doi:10.1056/NEJMra1404489. ISSN 0028-4793.
- ↑ Thomas, Sarah Beth (2017). "Acute hypervolemic hyponatremia". Nursing. 47 (10): 53–57. doi:10.1097/01.NURSE.0000522006.83149.20. ISSN 0360-4039.
- ↑ A. I. Arieff & H. J. Carroll (1972). "Nonketotic hyperosmolar coma with hyperglycemia: clinical features, pathophysiology, renal function, acid-base balance, plasma-cerebrospinal fluid equilibria and the effects of therapy in 37 cases". Medicine. 51 (2): 73–94. PMID 5013637. Unknown parameter
|month=ignored (help)