Therapeutic Approach to Chronic Electrolyte Disorders

Chronic disorders of sodium and potassium occur and occasionally need symptomatic therapy. Hypernatremia primarily indicates loss of free water, whereas hyponatremia may be attributable to various problems. It is important not to correct major aberrations of serum sodium concentrations too quickly lest the therapy be more detrimental than the electrolyte abnormality. In distinction, hypokalemia and hyperkalemia may be corrected quickly. Hypomagnesemia is relatively common, but its clinical significance is still being determined.