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Water intoxication can be prevented if a person's intake of water does not grossly exceed their losses. Healthy kidneys can excrete approximately 800 millilitres to one litre of fluid water (0.84–1.04 quarts) per hour. [15] However, stress (from prolonged physical exertion), as well as disease states, can greatly reduce this amount. [15]
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The mechanism usually stems from compromised regulatory mechanisms for sodium handling as seen in congestive heart failure (CHF), kidney failure, and liver failure. It may also be caused by excessive intake of sodium from foods, intravenous (IV) solutions and blood transfusions , medications, or diagnostic contrast dyes.
According to the Centers for Disease Control and Prevention, 15 percent of U.S. adults have chronic kidney disease, a health condition in which the kidneys can’t filter blood as well as they ...
Symptoms of hypernatremia may vary depending on type and how quickly the electrolyte disturbance developed. [27] Common symptoms are dehydration, nausea, vomiting, fatigue, weakness, increased thirst, and excess urination. Patients may be on medications that caused the imbalance such as diuretics or nonsteroidal anti-inflammatory drugs. [27]
In healthy people, the drinking of extra water produces mild diuresis to maintain the body water balance. Many people with health issues, such as heart failure and kidney failure, need diuretic medications to help their kidneys deal with the fluid overload of edema. These drugs promote water loss via urine production.