Study on clinical features and management of hypernatremia in Pediatric Intensive Care Unit
- Author:
Huong Minh Pham
- Publication Type:Journal Article
- Keywords:
hypernatremia
- MeSH:
Hypernatremia;
Sodium
- From:Journal of Practical Medicine
2002;435(11):41-45
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
The study involved 47 patients with hypernatremia who have clinical symptoms and the blood sodium level more than 150 mmol/l between January 1998 and June 2001. Results: hypernatremia is observed at the Intensive Care Unit with rate of 2.7%. It is more likely to occur in 1-year children. It can be required during hospitalization and developed in the patients who are using manitol, bicarbonate sodium and diuretics. The central nervous symptoms include seizures, increase in muscular tone, unconsciousness, coma, fever and dehydration. 31.9% of patients high and very high blood sodium level. The treatment has low effect on patients who have blood sodium level more than 170 mmol/l. The average time to normalize sodium level is 1.8 days with amount of solution during 4 to 6 hours to correct Na+ level is 19.8 ml/kg/h. During subsequent hours, amount of solution is different depending on body fluid disorder of patient.
