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Dehydration can occur as a result of diarrhea, vomiting, water scarcity, physical activity, and alcohol consumption. Management of dehydration (or rehydration) seeks to reverse dehydration by replenishing the lost water and electrolytes. Water and electrolytes can be given through a number of routes, including oral, intravenous, and rectal.
Oral rehydration therapy was developed in the 1940s using electrolyte solutions with or without glucose on an empirical basis chiefly for mild or convalescent patients, but did not come into common use for rehydration and maintenance therapy until after the discovery that glucose promoted sodium and water absorption during cholera in the 1960s. [6]
Similarly, electrolyte support may be more pressing during prolonged illnesses with symptoms like vomiting or diarrhea, which can cause acute dehydration and mineral loss.
For hyponatremic dehydration, such as from vomiting or diarrhea, urinary sodium will be less than 10 mmol/L due to increased sodium retention by the kidneys in an effort to conserve water. [31] In dehydrated patients with sodium loss due to diuretics or renal dysfunction, urinary sodium may be elevated above 20 mmol/L. [ 32 ] Patients may also ...
Medical conditions: Some conditions, like those that cause diarrhea, will raise your fluid needs. Others, like congestive heart failure, may reduce them. Others, like congestive heart failure, may ...
Electrolytes help us regulate our blood pressure and heart function, keep bodily fluids in balance (i.e., keeping us hydrated) and support muscle and nerve function, Byrne says.
Hyponatremia is the most common type of electrolyte imbalance, and is often found in older adults. [11] [12] It occurs in about 20% of those admitted to hospital and 10% of people during or after an endurance sporting event. [3] [5] Among those in hospital, hyponatremia is associated with an increased risk of death. [5]
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