Severe hypernatraemia in adults.

Severe hypernatraemia in a very preterm infant.

Hypernatraemia in very low birth weight babies has been well documented and is usually attributable to excessive insensible water loss. We report a case in which, despite a peak serum sodium concentration of 204 mmol/l, the baby survived without morbidity. Treatment was simply to increase the intake of free water in Dextrose.

Severe neonatal hypernatraemia: a population based study.

AIMS To describe incidence, presentation, treatment and short term outcomes of severe neonatal hypernatraemia (SNH, sodium ≥160 mmol/l). METHODS Prospective, population based surveillance study over 13 months using the British Paediatric Surveillance Unit. Cases were >33 weeks gestation at birth, fed breast or formula milk and <28 days of age at presentation. RESULTS Of 62 cases of SNH repo...

Hypernatraemia in hospital populations.

Correcting hypervolaemic hypernatraemia.

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Hypernatraemia: balancing is challenging.

As internists we like to think of ourselves as physicians with knowledge of disturbances of the milieu intérieur. Indeed, other specialities often call us for help when they are confronted with fluid and electrolyte disorders. The unrivalled number one of your electrolyte consults will undoubtedly be hyponatraemia. For example, hyponatraemia may arise in the postoperative period due to the comb...