PMID: 9543895Apr 17, 1998Paper

Comfort and incidence of abnormal serum sodium, BUN, creatinine and osmolality in dehydration of terminal illness

The American Journal of Hospice & Palliative Care
K Vullo-NavichJ M Veglia

Abstract

This prospective clinical study was undertaken to evaluate the effect of spontaneous food/fluid intake on serum sodium and comfort levels in a population of terminal patients (n = 31) receiving clysis or intravenous hydration. The median and mode of serum sodium were within normal limits and 56 percent of the patients were eunatremic. There was no statistically significant difference in comfort scores between predehydration and dehydration phases, and 85 percent had an optimal comfort score. A statistically significant difference was found (p < 0.5) between mean daily comfort scores of those with normal sodium versus those with abnormal sodium; those with hypernatremia were lower but still in the top third comfort levels. Because the sodium was tested using a Chem7, we also were able to calculate the BUN, creatinine, and osmolality. These are presented and compared to other study results. The findings of this study reinforce the belief that fluid depletion in dying patients results in relatively benign symptoms, that serum sodium levels are not always altered with limited intake and that comfort levels can be maintained when the serum sodium is abnormal.

References

Apr 1, 1992·Archives of Internal Medicine·L A Printz
Jan 1, 1989·The American Journal of Hospice Care·M R Andrews, A M Levine
Nov 1, 1985·Journal of the American Geriatrics Society·J A Billings
Sep 15, 1984·Lancet·D Oliver
Oct 1, 1993·Journal of Pain and Symptom Management·F I Burge
Apr 1, 1995·Journal of Pain and Symptom Management·J E EllershawC M Saunders
Jan 1, 1993·Postgraduate Medicine·M AndrewsJ M Veglia

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Citations

Nov 26, 2010·Journal of Nutrition for the Elderly·Roschelle A Heuberger
Mar 28, 2009·The American Journal of Bioethics : AJOB·Thomas I Cochrane
Feb 19, 2002·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·A Schwarte
Apr 29, 2014·The American Journal of Emergency Medicine·Leng-Chieh LinJen-Tsung Yang
Dec 4, 2012·Journal of Pain and Symptom Management·Amara Callistus NwosuJohn E Ellershaw
Feb 6, 2003·Journal of Gerontological Nursing·Jennifer Critchlow, Susan M Bauer-Wu
Dec 7, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Donald GarrowMark Delegge
Feb 21, 2006·Journal of Pain and Symptom Management·Tatsuya MoritaUNKNOWN Japan Palliative Oncology Study Group
Apr 28, 2000·Clinics in Geriatric Medicine·Z B Huang, J C Ahronheim
Nov 15, 2002·Pediatric Clinics of North America·Joanne WolfeJoanne Hilden
Feb 16, 2012·Clinical Neurology and Neurosurgery·Jon W SchrockKristin Drogell
Aug 16, 2016·Japanese Journal of Clinical Oncology·Takashi HigashiguchiToyoshi Hosokawa
Dec 19, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Tatsuya MoritaUNKNOWN Japan Palliative Oncology Study Group
Apr 10, 2008·The American Journal of Gastroenterology·Mark H Delegge
Feb 14, 2002·JPEN. Journal of Parenteral and Enteral Nutrition·UNKNOWN ASPEN Board of Directors and the Clinical Guidelines Task Force
Nov 4, 2008·International Journal of Palliative Nursing·Esther Schmidlin
Nov 10, 1998·The American Journal of Hospice & Palliative Care·C Kriebel
Feb 8, 2000·The American Journal of Hospice & Palliative Care·S Baumrucker
Nov 17, 2020·International journal for vitamin and nutrition research. Internationale Zeitschrift für Vitamin- und Ernährungsforschung. Journal international de vitaminologie et de nutrition·Leng Chieh LinChen-June Seak
May 10, 2021·International Journal of Clinical Oncology·Kazuma OnishiNorihiro Yuasa

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