{"id":4619,"date":"2017-08-14T04:31:51","date_gmt":"2017-08-14T02:31:51","guid":{"rendered":"http:\/\/news-papers.eu\/?p=4619"},"modified":"2017-08-08T12:57:11","modified_gmt":"2017-08-08T10:57:11","slug":"ursachen-von-hyponariaemien","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=4619","title":{"rendered":"Ursachen von Hyponatri\u00e4mien"},"content":{"rendered":"<p class=\"Grundschrift_ohne_Einzug\" style=\"text-align: justify;\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"4623\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=4623\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Wasserfall-e1493199904953.jpg?fit=300%2C226&amp;ssl=1\" data-orig-size=\"300,226\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Wasserfall\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Wasserfall-e1493199904953.jpg?fit=1024%2C770&amp;ssl=1\" class=\"size-medium wp-image-4623 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Wasserfall.jpg?resize=300%2C226\" alt=\"\" width=\"300\" height=\"226\" \/>Immer mal wieder lohnt sich der Blick in einen Leserbrief, so der Fall bei\u00a0<strong>PD Dr. \u00a0Armin Quante<\/strong>\u00a0(<a href=\"https:\/\/www.aerzteblatt.de\/archiv\/187969\/Haeufige-Ursachen-Hyponatriaemien\" target=\"_blank\" rel=\"noopener noreferrer\">Dtsch Arztebl Int 2017; 114(16): 289; DOI: 10.3238\/arztebl.2017.0289a<\/a>)\u00a0zu einer Studie von Tania Zieschang:<\/p>\n<p class=\"Grundschrift_ohne_Einzug\">Der Leserbrief bezieht sich auf folgende Originalarbeit:<\/p>\n<blockquote>\n<p class=\"Grundschrift_ohne_Einzug\" style=\"text-align: justify;\"><strong>Zieschang T, Wolf M, Vellappallil T, Uhlmann L, Oster P, Kopf D: The association of hyponatremia, risk of confusional state, and mortality\u2014a prospective controlled longitudinal study in older patients. Dtsch Arztebl Int 2016; 113: 855\u201362 (<a href=\"https:\/\/www.aerzteblatt.de\/archiv\/187969\/litlink.asp?typ=DAE&amp;id=184622\" target=\"_blank\" rel=\"noopener noreferrer\">PDF<\/a>)<\/strong><\/p>\n<\/blockquote>\n<p class=\"Grundschrift_ohne_Einzug\" style=\"text-align: justify;\">Armin Quante f\u00fchrt an, dass delirante, meist \u00e4ltere Patienten &gt;65 Jahren von Angeh\u00f6rigen, Not\u00e4rzten, aber auch anderen Somatikern wegen \u201eNicht-F\u00fchrbarkeit\u201c auf fakultativ gesch\u00fctzte gerontopsychiatrische Stationen verlegt werden. Dabei diskutiert der Autor die h\u00e4ufigsten Ursache einer Hyponatri\u00e4mien als Ursache der Symptomatik, hierbei dominieren ausgepr\u00e4gte kognitiven Defiziten, \u00a0Agitation, \u00c4ngste, Ratlosigkeit und depressive Syndrome. Auch eine Sturzneigung sollte nicht vergessen werden, ausgel\u00f6st z.B. durch einen Hyponatri\u00e4miebedingten Schwindel. Relevant als Ausl\u00f6ser der Hyponatri\u00e4mie erscheint\u00a0die pharmakogene Hyponatri\u00e4mie (Auswahl, es gibt also noch mehr!):<\/p>\n<ul>\n<li class=\"Grundschrift_mit_Einzug\"><strong>Thiaziddieuretika<\/strong><\/li>\n<li class=\"Grundschrift_mit_Einzug\"><strong>Antidepressiva wie Serotoninwiederaufnahmehemmer (SSRI, 5-fach erh\u00f6htes Risiko f\u00fcr eine Klinikaufnahme durch eine Hyponatri\u00e4mie)<\/strong><\/li>\n<li class=\"Grundschrift_mit_Einzug\"><strong>Antipsychotika<\/strong><\/li>\n<\/ul>\n<p class=\"Grundschrift_mit_Einzug\" style=\"text-align: justify;\">Weiterhin z\u00e4hlen diverse <strong>Antikonvulsiva, Analgetika<\/strong> (insbesondere nichtsteroidale Antiphlogistika) und <strong>Zytostatika<\/strong> zu den risikoreichen Medikamenten.<\/p>\n<p class=\"Grundschrift_mit_Einzug\" style=\"text-align: justify;\">Die iatrogene Hyponatri\u00e4mie ist dabei &#8222;behandelbar&#8220; und ggf. vermeidbar.\u00a0Risikopatienten f\u00fcr Hyponatri\u00e4mien weisen folgende Konstellationen auf:<\/p>\n<ul class=\"Aufzaehlung_mit_Einzug\">\n<li><strong>Einnahme von Thiaziddieuretikum<\/strong><\/li>\n<li><strong>h\u00f6heres Alter<\/strong><\/li>\n<li><strong>Hypoglyk\u00e4mie<\/strong><\/li>\n<li><strong>Diabetes mellitus Typ II,<\/strong><\/li>\n<li><strong>Einnahme von ACE-Hemmern<\/strong><\/li>\n<li><strong>Reflux\u00f6sophagitis und<\/strong><\/li>\n<li><strong>Harnwegsinfekte<\/strong><\/li>\n<li><strong>gerontopsychiatrische Patienten (unter\u00a0SSRI oder Antipsychotikum)<\/strong><\/li>\n<\/ul>\n<p class=\"Grundschrift_mit_Einzug\">Eine\u00a0h\u00e4ufigere Kontrollen der Elektrolyte ist unabdingbar.<\/p>\n<hr \/>\n<p class=\"Grundschrift_mit_Einzug\"><strong><a href=\"https:\/\/twitter.com\/news_papers_eu?refsrc=email&amp;s=11\" target=\"_blank\" rel=\"noopener noreferrer\">News-Papers.eu auf TWITTER<\/a>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"http:\/\/news-papers.eu\/follow\" target=\"_blank\" rel=\"noopener noreferrer\">Follow news-papers.eu<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Immer mal wieder lohnt sich der Blick in einen Leserbrief, so der Fall bei\u00a0PD Dr. \u00a0Armin Quante\u00a0(Dtsch Arztebl Int 2017; 114(16): 289; DOI: 10.3238\/arztebl.2017.0289a)\u00a0zu einer Studie von Tania Zieschang: Der [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4623,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[2],"tags":[215,916,216],"class_list":["post-4619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allgemein","tag-elektrolytstoerung","tag-geriatrischer-patient","tag-hyponatriaemie"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Wasserfall-e1493199904953.jpg?fit=300%2C226&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-1cv","jetpack-related-posts":[{"id":10321,"url":"https:\/\/news-papers.eu\/?p=10321","url_meta":{"origin":4619,"position":0},"title":"Stridor in der Notaufnahme","author":"Michael Bernhard","date":"November 16, 2019","format":false,"excerpt":"Ein Beitrag von G\u00f6tz von Wichert zu Stridor in der Notaufnahme im Deutschen \u00c4rzteblatt. 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