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Electrolyte imbalance, or water-electrolyte imbalance, is an abnormality in the concentration of electrolytes in the body. Electrolytes play a vital role in maintaining homeostasis in the body. They help to regulate heart and neurological function, fluid balance , oxygen delivery , acid–base balance and much more.
Hyponatremia is the most common type of electrolyte imbalance, and is often found in older adults. [ 11 ] [ 12 ] It occurs in about 20% of those admitted to hospital and 10% of people during or after an endurance sporting event.
Hypokalemia is one of the most common water–electrolyte imbalances. [4] It affects about 20% of people admitted to hospital. [ 4 ] The word hypokalemia comes from hypo- 'under' + kalium 'potassium' + -emia 'blood condition' .
Hypoosmolar hyponatremia is a condition where hyponatremia is associated with a low plasma osmolality. [1] The term "hypotonic hyponatremia" is also sometimes used.[2]When the plasma osmolarity is low, the extracellular fluid volume status may be in one of three states: low volume, normal volume, or high volume.
Therefore, significant hypernatremia should be treated carefully by a physician or other medical professional with experience in treatment of electrolyte imbalance. Specific treatments such as thiazide diuretics (e.g., chlorthalidone) in congestive heart failure or corticosteroids in nephropathy also can be used. [19]
Hyperphosphatemia is an electrolyte disorder in which there is an elevated level of phosphate in the blood. [1] Most people have no symptoms while others develop calcium deposits in the soft tissue. [1] The disorder is often accompanied by low calcium blood levels, which can result in muscle spasms. [1]
The symptoms of chronic syndrome of inappropriate antidiuresis are more vague, and may include cognitive impairment, gait abnormalities, or osteoporosis. [2] The main treatment of inappropriate antidiuresis is to identify and treat the underlying cause, if possible.
Symptoms of hypovolemic shock can be related to volume depletion, electrolyte imbalances, or acid–base disorders that accompany hypovolemic shock. [4] Patients with volume depletion may complain of thirst, muscle cramps, and/or orthostatic hypotension.