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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
Asked On : Tue, 27 Nov 2012
Answers:  2 Views:  34
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Urologist 's  Response
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,
Answered: Tue, 27 Nov 2012
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Nephrologist Dr. Aditya Bhabhe's  Response
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.
Answered: Wed, 28 Nov 2012
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