Fluid and electrolyte management in term and preterm neonates

被引:12
作者
Aggarwal R. [1 ]
Deorari A.K. [1 ,2 ]
Paul V.K. [1 ]
机构
[1] Division of Neonatology, Department of Pediatrics, All India Inst. of Medical Sciences, Ansari Nagar, New Delhi
[2] Department of Pediatrics, All India Inst. of Medical Sciences, Ansari Nagar
关键词
Fluid disorders; Kidneys; Sodium;
D O I
10.1007/BF02722931
中图分类号
学科分类号
摘要
Disorders of fluid and electrolyte are common in neonates. Proper understanding of the physiological changes in body water and solute after birth is essential to ensure a smooth transition from the aquatic in utero environment. The newborn kidney has a limited capacity to excrete excess water and sodium and overload of fluid or sodium in the first week may result in conditions like necrotizing enterocolitis and patent ductus arteriosus. The beneficial effect of fluid restriction on the neonatal morbidity has been shown in multiple clinical trials. Simple measures like use of transparent plastic barriers, caps and socks are effective in reducing insensible water loss. Guidelines for the management of fluids according to birth weight, day of life and specific clinical conditions are provided in the protocols.
引用
收藏
页码:1139 / 1142
页数:3
相关论文
共 12 条
  • [1] Bell E.F., Oh W., Fluid and electrolyte management, Neonatology : Pathophysiology of the Newborn. 5th Edn., pp. 345-361, (1999)
  • [2] Modi N., Renal function, fluid and electrolyte balance and neonatal renal disease, Textbook of Neonatology. 3rd Edn., pp. 1009-1036, (1999)
  • [3] Hartnoll G., Betremieux P., Modi N., Randomized controlled trial of postnatal sodium supplementation in infants of 25-30 weeks gestational age: Effects on cardiopulmonary adaptation, Arch Dis Child Fetal Neonatal Ed, 85, pp. 29-32, (2001)
  • [4] Hartnoll G., Betremieux P., Modi N., Randomized controlled trial of postnatal sodium supplementation on oxygen dependency and body weight in 25-30 week gestational age infants, Arch Dis Child Fetal Neonatal Ed, 82, pp. 19-23, (2000)
  • [5] Randomized controlled trial of postnatal sodium supplementation on body composition in 25-30 week gestational age infants, Arch Dis Child Fetal Neonatal Ed, 82, pp. 24-28, (2000)
  • [6] Al-Dahhan J., Haycock G.B., Nichol B., Chantier C., Stimmler L., Sodium hemostasis in term and preterm neonates: III. Effect of salt supplementation, Arch Dis Child, 59, pp. 945-950, (1984)
  • [7] Haycock G.B., The influence of sodium on growth in infancy, Pediatr Nephrol, 7, pp. 871-875, (1993)
  • [8] Herin P., Zetterstrom R., Sodium, potassium and chloride needs in low birth weight infants, Acta Pediatr Suppl, 405, pp. 43-48, (1994)
  • [9] Mbiti M.J., Ayisi R.K., Orinda D.A., Sodium supplementation in very low birth weight infants fed on their own mother's milk: II. Effects on protein and bone metabolism, East Afr Med J, 69, pp. 627-630, (1992)
  • [10] Ayisi R.K., Mbiti M.J., Musoke R.N., Orinda D.A., Sodium supplementation in very low birth weight infants fed on their own mother's milk: I. Effects on sodium hemostasis, East Afr Med J, 69, pp. 591-595, (1992)