Plain D5W or hypotonic saline solutions post-op could result in acute hyponatremia and death in healthy children.
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منابع مشابه
Risk of acute hyponatremia in hospitalized children and youth receiving maintenance intravenous fluids.
Hospital-acquired acute hyponatremia is increasingly recognized as a cause of morbidity and mortality in children. It has been attributed primarily to the use of hypotonic intravenous (IV) fluids to maintain fluid and electrolyte requirements. This practice point outlines current understanding of the problem and summarizes recent research dealing with this issue. Detailed recommendations are ma...
متن کاملIsotonic saline solution as maintenance intravenous fluid therapy to prevent acquired hyponatremia in hospitalized children.
OBJECTIVES This review aims to evaluate if the use of hypotonic saline solutions as maintenance intravenous fluid therapy in hospitalized children increases the risk of hyponatremia, if the administration of isotonic fluids is able to protect against acquired hyponatremia and if the isotonic solutions increase the risks of deleterious effects such as hypernatremia or fluid overload. SOURCES W...
متن کاملComparison of two maintenance electrolyte solutions in children in the postoperative appendectomy period: a randomized, controlled trial.
OBJECTIVE To compare two electrolyte maintenance solutions in the postoperative period in children undergoing appendectomy, in relation to the occurrence of hyponatremia and water retention. METHODS A randomized clinical study involving 50 pediatric patients undergoing appendectomy, who were randomized to receive 2,000mL/m(2)/day of isotonic (Na 150 mEq/L or 0.9% NaCl) or hypotonic (Na 30 mEq...
متن کاملThe efficacy of hypotonic and near-isotonic saline for parenteral fluid therapy given at low maintenance rate in preventing significant change in plasma sodium in post-operative pediatric patients: protocol for a prospective randomized non-blinded study
BACKGROUND Hyponatremia is the most frequent electrolyte abnormality observed in post-operative pediatric patients receiving intravenous maintenance fluid therapy. If plasma sodium concentration (p-Na+) declines to levels below 125 mmol/L in < 48 h, transient or permanent brain damage may occur. There is an intense debate as to whether the administered volume (full rate vs. restricted rate of i...
متن کاملIatrogenic Dysnatremias in Children with Acute Gastroenteritis in High-Income Countries: A Systematic Review
BACKGROUND Acute gastroenteritis (AGE) causing dehydration with or without dysnatremias is a common childhood health challenge. While it is accepted that oral rehydration therapy is preferred, clinical factors or parent and healthcare provider preferences may lead to intravenous rehydration (IVR). Isotonic solutions are increasingly recommended in most scenarios requiring IVR. Nevertheless, chi...
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عنوان ژورنال:
- Alberta RN
دوره 66 1 شماره
صفحات -
تاریخ انتشار 2010