Risk factors for hyponatremia after hypotonic fluid infusion

Risk factors for hyponatremia after hypotonic fluid infusion

Background Hypotonic maintenance i.v. fluids (IVF) pose a higher risk of hyponatremia than isotonic maintenance IVF, but isotonic maintenance IVF can result in excess sodium (Na) load in children. This study analyzed the incidence and risk factors for hyponatremia in children given hypotonic fluids...

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Veröffentlicht in:Pediatrics international 2019-12, Vol.61 (12), p.1239-1243
Hauptverfasser: Shirai, Yoko, Miura, Kenichiro, Shimizu, Satoru, Hattori, Motoshi, Shimizu, Norikazu
Format: Artikel
Sprache:eng
Schlagworte:
Body temperature
Children
Dehydration
Hyponatremia
hypotonic fluid
maintenance i.v. fluid
maintenance rate
Pediatrics
Regression analysis
Risk factors
Sodium
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Zusammenfassung:Background Hypotonic maintenance i.v. fluids (IVF) pose a higher risk of hyponatremia than isotonic maintenance IVF, but isotonic maintenance IVF can result in excess sodium (Na) load in children. This study analyzed the incidence and risk factors for hyponatremia in children given hypotonic fluids with different Na concentrations and different maintenance rates. Methods We performed a retrospective analysis using medical charts of children aged 3 months–15 years. The children were normonatremic (Na ≥135 mmol/L and
ISSN:1328-8067
1442-200X
DOI:10.1111/ped.14000