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Details van artikel 20 van 101 gevonden artikelen
| Titel: |
Clinical findings and treatment recommendations of hypernatremic dehydration due to breast milk |
| Auteur: |
Cüneyt Tayman, Salih Aydemir Aydın Kösüs Mustafa Mansur Tatlı Alparslan Tonbul |
| Verschenen in: |
Dicle medical journal |
| Paginering: | Jaargang 37 (2010) nr. 3 pagina's 254-262 |
| Jaar: |
2010 |
| Inhoud: |
Objectives: In this study, we aimed to assess the inci-dence, presenting complaints, risk factors of hyperna-tremic dehydration (DH), and to stage the degree of hy-pernatremic DH among term, exclusively breast feedinginfants, and to suggest a therapy for hypernatremic DH.Methods: Term, exclusively breast feeding neonates ad-mitted to our neonatology policlinics, with a more than 7%weight loss, serum sodium concentrations of ≥147 mEq/Lwere allocated for the study. ‘Maternals and infants’ medi-cal history, examination, including presenting complaints,risk factors, stool- urine frequency, weight loss, the du-ration of the treatment, the rate of sodium decrease byhourly was calculated and recorded. Percentage of weightloss by taking into account, degree of DH (mild, moder-ate, severe) was created.Results: Dehydration were determined in 126 of 3642 pa-tients (3.5%). Patients were allocated as Group 1, mild DH(n=59, 47%), group 2, moderate DH (n=43, 34%), group3, severe DH (n=24, 19%). Relevant clinical fi ndings onadmission were jaundice (46.8%), fever (42%), poor oralfeeding (36.5%), reduction in the amount of stool- urina-tion (32.5%). Clinical fi ndings of dehydration were morefrequent than other groups in group 3. On the admissionday, postnatal age, blood urea, creatinine levels, dura-tion of the therapy, sodium levels were higher than othergroups in group 3. Intravenous (IV) fl uid requirement wasover than other groups in group 3. Only two patients hadseizures in the severe DH group. Positive correlation wasdetermined between percentage of weight loss and se-rum sodium, urea and creatinine levelsConclusion: Diagnosis of hypernatremic DH is delayed,because of no obvious signs of dehydration is present inthe early period. There is no specifi c sign to determine thedegree of DH. Weight loss is the most prominent fi nding,accompanied by jaundice, fever, a decrease in urine andstool frequencies. Creation of a common treatment proto-col is the solution of questions in minds. |
| Uitgever: |
Dicle University Medical School (provided by DOAJ) |
| Bronbestand: |
Elektronische Wetenschappelijke Tijdschriften |
Details van artikel 20 van 101 gevonden artikelen
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