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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Low Serum Electrolytes. Should Electral Concentration Be Increased? Taking Medicine For Hypertension

My mother aged 78 Yrs and being treated for LOW serum electrolytes ( Na+:112 and K+: 2.6 on 22.10.2012 ) has been using electral solution AND Potassiumm chloride solution ( 10ml PER DAY)as advised by doctor for one month now. SERUM eLRCTROLYTES AS TESTED ON 23.11.2012 ARE Na+: 120; k+: 5.2 Whether Electral concentration has to be increased. She is a Non Diabetic but on medication for hyper tension
Wed, 28 Nov 2012
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Urologist 's  Response
Hi
Welcome yo HCM and thanks for your query.
Serum Sodium levels to increase needs water restriction than increased sodium intake.
Water needs to be seriously restricted to 1 to 1.5 litres only for 24 hours including other drinks like coffee/ tea.
If electral contains potassium, it is wise to avoid as her SERUM K is already high.
Also renal function has to be monitored, as if the renal function is good, K should not go up.
Kindly take a opinion form a internist/ nephrologist asap.
Hope this helps your mother,
Regards
DR GS
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Nephrologist Dr. Aditya Bhabhe's  Response
Hi
Thanks for your query.
Serum K of 5.2 is high normal. Any further increase will actually be harmful. Serum Na of 120 is still low.
Some of the medications used to treat hypertension like diuretics can cause a low serum Na.
So I suggest that you visit your physician or a nephrologist ASAP for a review of all the lab work and medications. He can guide you with further therapy.
Good luck.
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Have Low Serum Electrolytes. Should Electral Concentration Be Increased? Taking Medicine For Hypertension

Hi Welcome yo HCM and thanks for your query. Serum Sodium levels to increase needs water restriction than increased sodium intake. Water needs to be seriously restricted to 1 to 1.5 litres only for 24 hours including other drinks like coffee/ tea. If electral contains potassium, it is wise to avoid as her SERUM K is already high. Also renal function has to be monitored, as if the renal function is good, K should not go up. Kindly take a opinion form a internist/ nephrologist asap. Hope this helps your mother, Regards DR GS