Hyponatremia in elderly subjects is mainly caused by drugs (more frequently thiazides and antidepressants), the syndrome of inappropriate antidiuretic hormone secretion (SIAD) or endocrinopathies; however, hyponatremia is multifactorial in a significant proportion of patients.
Why do elderly get low sodium?
Hyponatremia is more common in older adults because they’re more likely to take medications or have medical conditions that put them at risk of the disorder. These risk factors include: Drugs that make you urinate more (diuretics) Some types of antidepressants.
How do you treat low sodium in elderly?
How to Increase Sodium Levels in Elderly People
- Adjust or change medications.
- Cut back on water and fluid consumption.
- Seek treatment for underlying conditions or diseases.
- Eat foods that are high in sodium.
- Increase dietary protein to aid in water excretion.
- Infusing an intravenous sodium solution.
What are symptoms of low sodium in elderly?
- Nausea and vomiting.
- Loss of energy, drowsiness and fatigue.
- Restlessness and irritability.
- Muscle weakness, spasms or cramps.
Can a person recover from low sodium levels?
Hyponatremia can result from multiple diseases that often are affecting the lungs, liver or brain, heart problems like congestive heart failure, or medications. Most people recover fully with their doctor’s help.
How long does it take to recover from low sodium?
Generally, low sodium is asymptomatic (does not produce symptoms), when it is mild or related to your diet. It can take weeks or months for you to experience the effects of low salt in your diet—and these effects can be corrected by just one day of normal salt intake.
Which organ is most affected by hyponatremia?
Hyponatremia occurs when your blood sodium level goes below 135 mEq/L. When the sodium level in your blood is too low, extra water goes into your cells and makes them swell. This swelling can be dangerous especially in the brain, since the brain cannot expand past the skull.
What is the fastest way to correct sodium?
In patients with severe symptomatic hyponatremia, the rate of sodium correction should be 6 to 12 mEq per L in the first 24 hours and 18 mEq per L or less in 48 hours. A bolus of 100 to 150 mL of hypertonic 3% saline can be given to correct severe hyponatremia.
How do I raise my sodium level?
Intravenous (IV) fluids with a high-concentration of sodium, and/or diuretics to raise your blood sodium levels. Loop Diuretics – also known as “water pills” as they work to raise blood sodium levels, by making you urinate out extra fluid.
What should I eat if my sodium is low?
- Fresh or frozen fish or shellfish.
- Chicken or turkey breast without skin or marinade.
- Lean cuts of beef or pork.
- Unsalted nuts and seeds.
- Dried beans and peas – like kidney beans, pinto beans, black beans, lima beans, black-eyed peas, garbanzo beans (chickpeas), split peas, and lentils.
What causes sodium to drop?
A low sodium level has many causes, including consumption of too many fluids, kidney failure, heart failure, cirrhosis, and use of diuretics.
How do you fix low sodium?
Treatment for low blood sodium
- cutting back on fluid intake.
- adjusting the dosage of diuretics.
- taking medications for symptoms such as headaches, nausea, and seizures.
- treating underlying conditions.
- infusing an intravenous (IV) sodium solution.
What is the treatment for low sodium levels?
Options include: Intravenous fluids. Your doctor may recommend IV sodium solution to slowly raise the sodium levels in your blood. This requires a stay in the hospital for frequent monitoring of sodium levels as too rapid of a correction is dangerous.
Will eating more salt help hyponatremia?
In elderly patients with a diet poor in protein and sodium, hyponatremia may be worsened by their low solute intake. The kidney’s need to excrete solutes aids in water excretion. An increase in dietary protein and salt can help improve water excretion.
Can low sodium cause stroke like symptoms?
Symptoms of hyponatremia can be indistinguishable from ischemic stroke and include changes in consciousness, seizure, or coma. Other neurological symptoms that are commonly associated with strokes, such as weakness, numbness, or uncoordinated movements, can also be seen with hyponatremia.
Should I eat more salt if my sodium is low?
Our bodies need a small amount of salt for a variety of functions, such as the working of nerves and muscles. However, there is enough sodium present in all foods that a lack of sodium does not generally cause any problems in these areas. It is rarely necessary to add extra salt to food.