Volumenmanagement im Alter

Sowohl die Exsikkose als auch die hydropische Dekompensation treten bei älteren Menschen häufiger auf und sind mit vielen Komplikationen, erhöhter Morbidität und Mortalität assoziiert. In diesem Beitrag werden die altersassoziierten Ursachen und Folgen beider Erkrankungen sowie ein praxisorientiertes Vorgehen bezüglich der präventiven Maßnahmen, der Diagnostik sowie der Therapie dargestellt.

Abstract

Both exsiccosis and hydropic decompensation occur more frequently in the older persons and are associated with complications, increased morbidity and mortality. This paper presents the age-associated causes and consequences of both conditions, as well as a practical approach to preventive measures, diagnostics, and therapy.

Schlüsselwörter

Volumenmanagement - ältere Patienten - Dehydratation - Flüssigkeitszufuhr - hydropische Dekompensation - Volumenstabilisierung - Diuretika

Key words

volume management - elderly - dehydration - hydration - hydropic decompensation - volume stabilization - diuretics

Publication History

Article published online:
14 April 2021

• Literatur

• 1 Klotz U. Pharmacokinetics and drug metabolism in the elderly. Drug Metab Rev 2009; 41 (02) 67-76
• 2 Hooper L, Bunn DK, Downing A. et al. Which Frail Older People Are Dehydrated? The UK DRIE Study. J Gerontol A Biol Sci Med Sci 2016; 71 (10) 1341-1347
• 3 Bunn D, Jimoh F, Wilsher SH. et al. Increasing fluid intake and reducing dehydration risk in older people living in long-term care: a systematic review. J Am Med Dir Assoc 2015; 16 (02) 101-113
• 4 El-Sharkawy AM, Sahota O, Maughan RJ. et al. The pathophysiology of fluid and electrolyte balance in the older adult surgical patient. Clin Nutr 2014; 33 (01) 6-13
• 5 El-Sharkawy AM, Watson P, Neal KR. et al. Hydration and outcome in older patients admitted to hospital (The HOOP prospective cohort study). Age Ageing 2015; 44 (06) 943-947
• 6 Hooper L, Abdelhamid A, Attreed NJ. et al. Clinical symptoms, signs and tests for identification of impending and current water-loss dehydration in older people. Cochrane Database Syst Rev 2015; 4: CD009647
• 7 Volkert D, Beck AM, Cederholm T. et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr 2019; 38 (01) 10-47
• 8 Gandy J, Le BL, Konig J. et al. Recording of fluid, beverage and water intakes at the population level in Europe. Br J Nutr 2016; 116 (04) 677-682
• 9 Bhanu C, Avgerinou C, Kharicha K. et al. 'I've never drunk very much water and I still don't, and I see no reason to do so': a qualitative study of the views of community-dwelling older people and carers on hydration in later life. Age Ageing 2019; 49 (01) 111-118
• 10 Lukasik S, Tobis S, Wieczorowska-Tobis K. et al. Could Robots Help Older People with Age-Related Nutritional Problems? Opinions of Potential Users. Int J Environ Res Public Health 2018; 15 (11) 2535-2544
• 11 Townsend MK, Jura YH, Curhan GC. et al. Fluid intake and risk of stress, urgency, and mixed urinary incontinence. Am J Obstet Gynecol 2011; 205 (01) 73-76
• 12 Maughan RJ, Watson P, Cordery PA. et al. A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index. Am J Clin Nutr 2016; 103 (03) 717-723