keyword
MENU ▼
Read by QxMD icon Read
search

iatrogenic hypernatraemia

keyword
https://www.readbyqxmd.com/read/26684406/intravenous-isotonic-fluids-induced-a-positive-trend-in-natraemia-in-children-admitted-to-a-general-paediatric-ward
#1
Juan Diego Toledo, Carlos Morell, Maximo Vento
AIM: Using hypotonic intravenous solutions for baseline fluid needs in paediatric patients on a nil by mouth diet may cause serious complications, including hyponatraemia, cerebral oedema and even death. We analysed the evolution of natraemia and explored any adverse effects on children treated with intravenous isotonic fluids. METHODS: This was a prospective study of 50 patients consecutively admitted to a general paediatric ward who were treated with isotonic intravenous fluids and on a nil by mouth diet...
June 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/26154611/thrombosis-secondary-to-acute-hypernatraemia-after-liver-hydatid-cyst-surgery
#2
María Pilar Sánchez Conde, Miguel Ángel Palomero Rodríguez, José María Rodríguez López, José Ramón González-Porras
Hypernatraemia after hypertonic saline irrigation of a hepatitic hydatid cyst is a rare but serious complication. Neurological symptoms and signs are frequently seen in hypernatraemia. However, other symptoms, such as fever, acute pulmonary oedema, congestive cardiac failure and muscular alterations, may appear. It has recently been suggested that hypernatraemia increases the risk of thrombosis.We present the first report of an adult patient who survived a severe acute iatrogenic hypernatraemia and hyper-coagulability resulting from hypertonic saline irrigation of intra-abdominal hydatid cysts...
September 2015: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
https://www.readbyqxmd.com/read/26038383/mild-encephalopathy-with-reversible-splenial-lesion-in-a-patient-with-influenza-a-infection-first-report-in-an-adult-patient-in-the-usa
#3
Jonathan Wang, Earl Stewart, Kwame Dapaah-Afriyie, Arkadiy Finn
We present a case of a 51-year-old man with panhypopituarism who developed clinically mild encephalopathy with a lesion in the splenium of the corpus callosum, in the setting of acute influenza A infection. The patient's initial presentation included hypernatraemia due to pre-existing iatrogenic central diabetes insipidus. Despite adequate treatment of hypernatraemia, his course was complicated by otherwise unexplained mild encephalopathy. Brain MRI revealed a diffusion restricted lesion in the splenium of the corpus callosum...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25036061/fluid-therapy-and-iatrogenic-hyponatraemia-risk-in-children-hospitalised-with-acute-gastroenteritis-prospective-study
#4
Marciano Sánchez-Bayle, Raquel Martín-Martín, Julia Cano-Fernández, Enrique Villalobos-Pinto
OBJECTIVE: The purpose of this study is to analyse whether the use of hypotonic fluids increases the risk of iatrogenic hyponatraemia in children hospitalised with acute gastroenteritis (AGE). PATIENTS AND METHODS: Prospective study carried out on 205 patients with ages ranging from 1 to 28 months and admitted with a diagnosis of mild or moderate dehydration due to AGE and treated with intravenous hypotonic fluids in a paediatric department in Madrid (Spain). The degree of dehydration at presentation was estimated using standard clinical measures...
2014: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/19782311/the-potential-significance-of-elevated-vitreous-sodium-levels-at-autopsy
#5
REVIEW
Annabel I Ingham, Roger W Byard
Elevated levels of sodium that may be detected in the analysis of post-mortem fluid samples may arise from a wide variety of organic illnesses and environmental factors that have caused either water depletion or solute gain. When hypernatraemia is suspected at autopsy a careful history is required with particular emphasis on pre-existing medical conditions such as renal or gastrointestinal disease. In addition, detailed information is required on the circumstances of death, including any clinical symptoms and signs that the deceased may have manifested, or medical procedures such as dialysis, colonoscopy or intravenous fluid replacement...
November 2009: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/9069040/extreme-sodium-derangement-in-a-paediatric-inpatient-population
#6
K Dunn, W Butt
OBJECTIVE: To determine the aetiology, symptoms and outcome of extreme sodium derangement in a paediatric inpatient population. METHODOLOGY: A retrospective study of children with extreme disturbance of their plasma sodium (> or = 165 mmol/L or < or = 115 mmol/L) admitted to a tertiary referral centre during a 72-month period. RESULTS: Twenty-seven cases of hypernatraemia and 21 of hyponatraemia were reviewed. Sodium disturbance developed after hospital admission in 27/57 cases (57%)...
February 1997: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/9050029/some-sodium-potassium-and-water-changes-in-the-elderly-and-their-treatment
#7
REVIEW
V E Andreucci, D Russo, B Cianciaruso, M Andreucci
Creatinine clearance decreases with age by 1 ml/min/year after 40 years of age, although serum creatinine remains constant because of reduction of muscle mass. Reduction of water intake may occur in the elderly because of a reduced sensation of thirst; this is associated with a tendency to lose water with urine. The capacity to respond to sodium load is impaired in aged kidneys, thereby leading to ECV expansion and hypertension. But there is also, in the elderly, a reduced capacity for retaining sodium (FENa is higher than in young subjects), making old subjects sensitive to salt depletion and ECV contraction...
1996: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/6613573/renal-aspects-of-neonatal-sodium-homeostasis
#8
E Sulyok, F Varga
Current knowledge on renal sodium handling during the neonatal period is reviewed with particular reference to its clinical implications. It has been demonstrated that fractional sodium excretion is inversely proportional to the maturity of the neonate. The high rate of urinary sodium excretion in the low-birth-weight premature infants results in sodium depletion, hyponatraemia and hypoosmolality; evidence has been provided to indicate that it may contribute to the development of late metabolic acidosis, failure to gain weight and impaired function of the central nervous system...
1983: Acta Paediatrica Hungarica
https://www.readbyqxmd.com/read/2227471/hypernatraemia-in-the-elderly-patient
#9
REVIEW
L R Solomon, M Lye
The elderly are at risk of developing hypernatraemia because of age-related changes in renal function and body composition. The pathophysiology and aetiology of hypernatraemia are reviewed with emphasis on iatrogenic factors. A rational approach to management is discussed and clear guidelines for treatment described.
1990: Gerontology
https://www.readbyqxmd.com/read/1924049/hypernatraemia-in-an-adult-in-patient-population
#10
C A Long, P Marin, A J Bayer, H G Shetty, M S Pathy
We report a retrospective study of hypernatraemia (serum sodium concentration greater than 150 mmol/l) in an adult in-patient population of a health district during one year. The incidence was 0.3% with at least 60% of cases developing after hospital admission, mainly in elderly patients. Dehydration appeared to be the major cause, with the use of diuretics, depressed conscious level or febrile illness implicated in a majority. Most patients had more than one contributory factor and iatrogenic causes were common...
July 1991: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/1004320/iatrogenic-hypernatraemia-after-oral-electrolyte-solution
#11
R A Cockington, B H Chow, H Gold
A seven-week-old infant was found to be hypernatraemic after oral administration of an electrolyte solution. It is recommended that such solutions are not used in the outpatient treatment of children.
November 6, 1976: Medical Journal of Australia
1
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"