What is electrolyte disorder?

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summary

The main cations in human plasma are Na, K, Ca and Mg, which play a decisive role in maintaining the osmotic pressure of extracellular fluid and the distribution and transfer of body fluids; The main anions in extracellular fluid are Cl - and HCO3 -, which play an important role in maintaining acid-base balance besides maintaining the tension of body fluid. What is electrolyte disorder? Next, I'd like to share my views with you.

What is electrolyte disorder?

The clinical manifestation is not typical and fatigue may appear. Dry lips and tongue, skin loss of elasticity, restlessness, even manic, hallucination, delirium and coma. Brain atrophy caused by hypernatremia can be secondary to cerebral hemorrhage, subarachnoid hemorrhage and even death.

Mild hyponatremia (serum sodium concentration 120-135mmol / L) can lead to taste loss and muscle soreness; Moderate (serum sodium concentration 115-120mmol / L) had headache, personality change, nausea, vomiting, etc; Severe (serum sodium concentration < 115 mmol / L) can appear coma, reflex disappeared.

There are three aspects: bradycardia, atrioventricular block and sinus arrest. ECG showed high T wave, prolonged PR interval, P wave disappeared, QRS wave widened, cardiac arrest, early blood pressure slightly increased, late blood pressure decreased, irregular breathing, arrhythmia, etc. Neuromuscular symptoms are characterized by muscle pain and weakness in the early stage, and respiratory muscle paralysis may occur in severe cases.

matters needing attention

To maintain the function of cardiovascular system, a large number of vitamins and neurotrophic substances are given to promote the recovery of brain cell function, such as glutamic acid, adenosine triphosphate (ATP), coenzyme A, nicotinic acid, etc. Generally, there is no special treatment for mental disorders. When necessary, anti anxiety and antidepressant drugs can be used symptomatically. The use of psychotropic drugs should be cautious, and attention should be paid to avoid further damage to the relevant organs, deepen the disturbance of consciousness or damage the function of other organs. Academic papers