HIPERNATREMIA NEONATAL PDF

Hipernatremia neonatal: factores de riesgo Hypernatremic dehydration: risk factors. Neonatal hypernatremia is a serious condition in the newborn period. We present infants with hypernatremic dehydration due to breast milk (BM) hypernatremia. J Matern Fetal Neonatal Med. Jun;20(6) Moderate hypernatremic dehydration in newborn infants: retrospective evaluation of 64 cases. Uras N(1).

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Arch Pediatr Urug ; They were thoroughly evaluated for sepsis, hypoglycemia, hypocalcemia, and serum electrolytes.

Moderate hypernatremic dehydration in newborn infants: retrospective evaluation of 64 cases.

Rev Port Clin Geral ; There is no reason to stop breastfeeding even if the BM Na is high as it decreases as time progresses. For definition of hypernatremia, Table 1 is to be referred.

BM Na of the mother’s milk was also done. Hypernatraemic dehydration in newborn infants.

Clinical Practice Guidelines : Hypernatraemia

Pediatrics International ; Abstract Aims and Objectives: In our hospital, none of the babies had seizures either before or during neojatal treatment. Elsevier Health Sciences ; In an otherwise healthy baby, poor feeding and weight loss could be a reason to suspect hypernatremia. Fluid management of hypernatraemic dehydration to prevent cerebral oedema: Hipernahremia should be a high level of suspicion and early recognition of the underlying breastfeeding problems before the onset of serious and sometimes life-threatening dehydration.

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We analyzed records of babies admitted to the Neonatal Intensive Care Unit who were investigated and found to have hypernatremia and whose mother’s BM sodium BM Na was done. Open in a separate window. Journal of Health Population and Nutrition ; Electrolyte and acid-base disorders. These babies were on exclusive breastfeeding. Today, the most common cause of hypernatremic dehydration in the healthy term newborn is the low volume intake of breast milk.

Dehydration in Infancy and Childhood. Schwaderer A, Schwartz G. These neonates were referred from the postnatal care wards to the NICU for lethargy and poor feeding. The results are depicted in Table 2.

Moderate hypernatremic dehydration in newborn infants: retrospective evaluation of 64 cases.

Hypernatremia due to high BM Na is an established entity. In our study, four of the eight infants showed signs of severe dehydration, which was successfully treated as per protocol, is shown in Table 3.

Mothers hipernattemia BM Na was not done at the time of neonatal hypernatremia were excluded. Monitoring the mother and baby hiernatremia the 1 st week of life for successful establishment of breastfeeding is essential. A nationwide study on hospital admissions due to dehydration in exclusively breastfed infants in the Netherlands: Ineffective milk removal was primarily associated with poor breastfeeding techniques i.

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The practitioners should continue to recommend breastfeeding as the best method of nourishing healthy infants. National Center for Biotechnology InformationU.

Characteristics of cases of hypernatremia in breast-fed neonates admitted in the Neonatal Intensive Care Unit. Table 2 Characteristics of cases of hypernatremia in breast-fed neonates admitted in the Neonatal Intensive Care Unit.

Hypernatremic dehydration in newborn infants

Neonatal hypernatremia and dehydration in infants receiving inadequate breastfeeding. Babies who were active and accepting feeds were continued on oral feeds and monitored. Current Understanding and Management.

Normal saline is a safe initial rehydration fluid in children with diarrhea-related hypernatremia. Hypernatremic dehydration resulting from inadequate breast-feeding.

Rapid correction of increased serum Na concentration predisposes to osmotic changes in the brain which can exacerbate the existing cerebral edema.