Encefalopatia hemorrágica hipernatrêmica: relato de caso e revisão da literatura

Mata, Lucas Sampaio; Gusmão, Dimitri; Almeida, Antônio Raimundo Pinto de

doi:10.1590/s0103-507x2010000300014

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…Sodium is a fundamental ion in organic function and represents most frequent ion in extracellular fluids, with a concentration rate between 135 and 145 mEq/L . Among disorders caused by changes in serum sodium concentration, hypernatremia has a low frequency and is well tolerated and usually requires simple therapeutic procedures .…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis for strength serum sodium and potassium in three different methods: Flame photometry, ion‐selective electrode (ISE) and colorimetric enzymatic

Garcia

Vanelli

Pereira

et al. 2018

Clinical Laboratory Analysis

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Section: Introductionmentioning

confidence: 99%

Comparative analysis for strength serum sodium and potassium in three different methods: Flame photometry, ion‐selective electrode (ISE) and colorimetric enzymatic

Garcia

Vanelli

Pereira

et al. 2018

Clinical Laboratory Analysis

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Nephrogenic diabetes insipidus with new onset diabetic ketoacidosis in a child — challenges in fluid and electrolyte management

et al. 2022

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BackgroundIntensive care management of diabetic ketoacidosis (DKA) is targeted to reverse ketoacidosis, replace the uid de cit, and correct electrolyte imbalances. Adequate restoration of circulation and treatment of shock is key. Pediatric treatment guidelines of DKA have become standard but complexities arise in children with co-morbidities. Congenital nephrogenic diabetes insipidus (NDI) is a rare hereditary disorder characterized by impaired renal concentrating ability and treatment is challenging. NDI and DKA together have only been previously reported in one patient. Case Diagnosis/TreatmentWe present the case of a 12-year-old male with NDI and new onset DKA with hyperosmolality. He presented in hypovolemic shock with altered mental status. Rehydration was challenging and isotonic uid resuscitation resulted in increased urine output and worsening hyperosmolar state. Use of hypotonic uid and insulin infusion led to lowering of serum osmolality faster than desired and increased the risk for cerebral edema. Despite the rapid decline in serum osmolality his mental status improved so we allowed him to drink free water mixed with potassium phosphorous every hour to match his urinary output (1:1 replacement) and continued 0.45% sodium chloride based on his uid de cit and replacement rate with improvement in his clinical status. ConclusionsThis case illustrates the challenges of managing hypovolemic shock, hyperosmolality, and extreme electrolyte derangements driven by NDI and DKA.

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Recognition and Management of Pediatric Salt Toxicity

et al. 2018

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Encefalopatia hemorrágica hipernatrêmica: relato de caso e revisão da literatura

Cited by 5 publications

References 6 publications

Comparative analysis for strength serum sodium and potassium in three different methods: Flame photometry, ion‐selective electrode (ISE) and colorimetric enzymatic

Comparative analysis for strength serum sodium and potassium in three different methods: Flame photometry, ion‐selective electrode (ISE) and colorimetric enzymatic

Nephrogenic diabetes insipidus with new onset diabetic ketoacidosis in a child — challenges in fluid and electrolyte management

Recognition and Management of Pediatric Salt Toxicity

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