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Hyponatremia and Other Electrolyte Disorders - UCSF CME

Hyponatremia and Other Electrolyte DisordersSharon Anderson, of Nephrology and HypertensionOregon Health & Science UniversityPortland VA Medical CenterOctober 2012 DisclosuresNothing to DiscloseHyponatremia Most common Electrolyte disorder in hospitalized patients Chronic Hyponatremia is common in the elderly: thiazides, CHF, cancer, SIADH (drugs) Consequences: osteoporosis, gait disturbance, fallsSNa = 130 mEq/LSNa = 139 mEq/LRenneboog B, AJM 119:e71,2006 Risk of Inpatient Hyponatremia by AgeBerl T. CJASN, in press (10/04/12)*p < Hyponatremia and MortalityLeung AA, et al. Arch Intern Med (09/10/12) Aim: to determine association between preop Hyponatremia and 30 day mortality Reviewed NSQIP database Compared those with Hyponatremia (< 135 mEq/L) vs. 135 144 mEq/L Preop Hyponatremia risk of 30 day mortality, vs. , OR Also CV events, wound infec ons, PNA, LOSP reoperative Hyponatremia and MortalityLeung AA, et al.

Hyponatremia and Other Electrolyte Disorders Sharon Anderson, M.D. Div. of Nephrology and Hypertension Oregon Health & Science University

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  Other, Disorders, Electrolyte, Hyponatremia, Hyponatremia and other electrolyte disorders, Ucsf

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