Hyponatraemia and hypokalaemia during intravenous fluid administration

被引：36

作者：

Armon, K. ^{[1
]}

Riordan, A. ^{[2
]}

Playfor, S. ^{[3
]}

Millman, G. ^{[4
]}

Khader, A. ^{[5
]}

机构：

[1] Norfolk & Norwich Univ Hosp NHS Trust, Norwich NR4 7UY, Norfolk, England

[2] Royal Liverpool Childrens Hosp Alder Hey, Liverpool, Merseyside, England

[3] Royal Manchester Childrens Hosp, Manchester M27 1HA, Lancs, England

[4] York Hosp, York, N Yorkshire, England

[5] Addenbrookes Hosp, Cambridge, England

来源：

ARCHIVES OF DISEASE IN CHILDHOOD | 2008年 / 93卷 / 04期

关键词：

D O I：

10.1136/adc.2006.093823

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background: Hospital-acquired hyponatraemia is associated with excessive volumes of hypotonic intravenous fluids and can cause death or permanent neurological deficit. Methods: A cross-sectional survey was carried out in 17 hospitals on all children receiving intravenous fluids during 1 day of a specified week in December 2004. Results: 77 of 99 children receiving intravenous fluids received hypotonic solutions and 38% received >105% of fluid requirements. 21 of 86 children were hyponatraemic, but the electrolytes of only 79% had been checked in the preceding 48 h. Conclusions: Intravenous fluids should be used with caution as regards the tonicity and volume administered, and with appropriate monitoring of serum electrolytes.

引用

页码：285 / 287

页数：3

共 9 条

[1] Lesson of the week - Acute hyponatraemia in children admitted to hospital: retrospective analysis of factors contributing to its development and resolution [J].

Halberthal, M ;

Halperin, ML ;

Bohn, D .

BRITISH MEDICAL JOURNAL, 2001, 322 (7289) :780-782

[2] Rubbing salt in the wound [J].

Hatherill, M .

ARCHIVES OF DISEASE IN CHILDHOOD, 2004, 89 (05) :414-418

[3] Acute hyponatremia related to intravenous fluid administration in hospitalized children: An observational study [J].

Hoorn, EJ ;

Geary, D ;

Robb, M ;

Halperin, ML ;

Bohn, D .

PEDIATRICS, 2004, 113 (05) :1279-1284

[4]

Mackway-Jones K, 2005, ADV PAEDIAT LIFE SUP

[5] Preventing neurological complications from dysnatremias in children [J].

Moritz, M ;

Ayus, JC .

PEDIATRIC NEPHROLOGY, 2005, 20 (12) :1687-1700

[6] Prevention of hospital-acquired hyponatremia: A case for using isotonic saline [J].

Moritz, ML ;

Ayus, JC .

PEDIATRICS, 2003, 111 (02) :227-230

[7]

*NPSA, 2007, RED RISK HYP ADM INT

[8]

Playfor Stephen D, 2004, Expert Opin Drug Saf, V3, P67, DOI 10.1517/eods.3.1.67.25273

[9] Pouring salt on troubled waters [J].

Taylor, D ;

Durward, A .

ARCHIVES OF DISEASE IN CHILDHOOD, 2004, 89 (05) :411-414

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