A REVIEW ARTICLE ON FLUID AND ELECTROLYTE IMBALANCES

Authors

  • Asit Sharma
  • Dr. Varsha Kumari

DOI:

https://doi.org/10.22159/prl.ijayush.v15i06%20(June).2071

Keywords:

Emergency medicine, Fluid imbalance, Electrolyte disorders, Hyponatremia, Hyperkalemia, Dehydration

Abstract

Fluid and electrolyte imbalances are among the most common and potentially life-threatening conditions encountered in emergency medicine. If not identified and managed promptly, these disturbances can rapidly impair cardiovascular stability, neurological function, and renal performance. A thorough understanding of fluid dynamics, electrolyte homeostasis, clinical presentation, and evidence-based treatment strategies is therefore essential for emergency physicians. This review outlines the pathophysiology, classification, clinical manifestations, diagnostic evaluation, and emergency management of major fluid and electrolyte disorders, with particular focus on sodium, potassium, calcium, and magnesium abnormalities. Special emphasis is placed on early recognition, appropriate correction rates, and prevention of complications resulting from rapid or inappropriate therapy.

References

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Mount DB. Fluid and electrolyte disturbances. In: Jameson JL, et al., editors. Harrison’s Principles of Internal Medicine. 21st ed. New York: McGraw-Hill; 2022.

Tintinalli JE, et al. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 9th ed. New York: McGraw-Hill; 2020.

Weiner ID, Wingo CS. Hyperkalemia: a potential silent killer. J Am Soc Nephrol. 1998;9(8):1535–1543.

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Published

2026-06-07

Issue

Section

Review Article