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Water Intoxication

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

HyponatremiaUnstable ElectrolytesOptimize ElectrolytesIncreased ICPSeizuresBradycardiaHypertensionHypervolemiaAvoid HypervolemiaDelayed EmergenceAvoid Hypotonic FluidsCerebral Edema

Pathophysiology

Water intoxication is acute free-water excess that outruns renal excretion and drops plasma osmolality faster than the brain can adapt. Intracellular solute concentration exceeds that of the...

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