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Electrolyte imbalance, or water-electrolyte imbalance, is an abnormality in the concentration of electrolytes in the body. Electrolytes play a vital role in maintaining homeostasis in the body. They help to regulate heart and neurological function, fluid balance , oxygen delivery , acid–base balance and much more.
Causes of hypokalemia include vomiting, diarrhea, medications like furosemide and steroids, dialysis, diabetes insipidus, hyperaldosteronism, hypomagnesemia, and not enough intake in the diet. [1] Normal potassium levels in humans are between 3.5 and 5.0 mmol/L (3.5 and 5.0 mEq/L ) with levels below 3.5 mmol/L defined as hypokalemia.
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]
The main symptom is vomiting, which typically occurs after meals, of undigested food devoid of any bile. A history of previous peptic ulcers and loss of weight is not uncommon. In advanced cases, signs to look for on physical examination are wasting and dehydration. Visible peristalsis from left to right may be present.
Dysphagia may manifest as the result of autonomic nervous system pathologies including stroke [23] and ALS, [24] or due to rapid iatrogenic correction of an electrolyte imbalance. [25] In older adults, presbyphagia - the normal healthy changes in swallowing associated with age - should be considered as an alternative explanation for symptoms. [26]
Dementia and delirium are the cause of the confusion, orientation, cognition or alertness impairment. [11] Therefore, these symptoms require more attention because hallucinations, delusions, amnesia, and personality changes are the result. These effects of the dementia and delirium are not joined with the changes of sensory or perception abilities.
Dementia due to Pick's disease: Coded 290.10 in the DSM-IV. 294.8: Dementia NOS: 294.xx: Dementia of the Alzheimer's type, with early onset: Coded 290.xx in the DSM-IV. 290.10: Dementia of the Alzheimer's type, with early onset, uncomplicated: Included only in the DSM-IV. 294.11: Dementia of the Alzheimer's type, with early onset, with ...
Dementia may occur when neurodegenerative and cerebrovascular pathologies are mixed, as in susceptible elderly people (75 years and older). [2] [5] Cognitive decline can be traced back to occurrence of successive strokes. [4] ICD-11 lists vascular dementia as dementia due to cerebrovascular disease. [1]