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Oncologic Critical Care pp 1–12Cite as

Electrolytic Abnormalities Related to Sodium in Critically Ill Cancer Patients

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Abstract

Sodium homeostasis and water balance are vital for a critically ill patient with cancer. Hypernatremia and hyponatremia are metabolic emergencies in the oncologic ICU associated with higher mortality rates and prolonged length of stay. Patients with cancer are susceptible to have variations in plasma osmolality leading to those conditions. Drugs, tumor-related injuries, metastasis, surgery, chemotherapy and radiotherapy, and other pathological conditions predispose to the dysregulation of that narrow balance. Intensivists and oncologist must assess the volume status and the plasma and urine osmolality carefully to avoid life-threatening conditions leading to neurological compromise and even death. Hypernatremia and hyponatremia are commonly found in the ICU wards, so the therapeutic workup should include special attention to these electrolytic disturbances.

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Author information

Authors and Affiliations

  1. Department of Critical Care Medicine, Instituto Médico de Alta Tecnología IMAT Oncomedica, Montería, Colombia

    Agamenón Quintero, Jorge Racedo & Carlos Andrés Pérez Acosta

  2. Department of Clinical Research, Instituto Médico de Alta Tecnología IMAT Oncomedica, Montería, Colombia

    Sandra Aruachán

Authors
  1. Agamenón Quintero
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  2. Jorge Racedo
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  3. Carlos Andrés Pérez Acosta
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  4. Sandra Aruachán
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Corresponding author

Correspondence to Jorge Racedo .

Editor information

Editors and Affiliations

  1. Department of Critical Care, University of Texas MD Anderson Cancer C Department of Critical Care, Houston, TX, USA

    Joseph L. Nates

  2. Department of Critical Care, University of Texas MD Anderson Cancer C Department of Critical Care, Houston, TX, USA

    Kristen J. Price

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Quintero, A., Racedo, J., Pérez Acosta, C.A., Aruachán, S. (2019). Electrolytic Abnormalities Related to Sodium in Critically Ill Cancer Patients. In: Nates, J., Price, K. (eds) Oncologic Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-74698-2_86-1

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  • DOI: https://doi.org/10.1007/978-3-319-74698-2_86-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74698-2

  • Online ISBN: 978-3-319-74698-2

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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