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bocog加油英语Hospital-acquired hyponatremia in children: Epidemiology, pathophysiology, and prevention 期刊名称： Journal of Pediatric Biochemistryvividly
自我管理技能>ruu作者： Jamil Farhat Neto,José Carlos Esteves Veiga,Jefferson Walter Daniel
作者机构： Division of Neurosurgery, Faculty of Medical Sciences, Santa Casa Sao Paulo, Sao Paulo, Brazil
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年份： 2010年
期号： 第01期
windforce关键词： Hospital-acquired hyponatremia;maintenance fluid therapy;hypotonic fluid;saline;Hartmann's solution
摘要：Recent obrvations have revealed that otherwi healthy children with acute illness are prone to hyponatremia due to incread arginine vasopressin production by non-osmotic stimuli. Concern has recently been raid about the potential for iatrogenic hyponatremia as a result of mainte
llnance fluid therapy for tho children. To minimize the risk of development of hospital-acquired hyponatremia in sick children receiving maintenance fluid therapy, the routine practice of administration of hypotonic fluids (e.g., 0.18% NaCl with 4% gluco: Na 31 mEq/L, Cl 31 mEq/L) should be abandoned. Instead, isotonic solution, such as 0.9% NaCl (Na 154 mEq/L, K 0 mEq/L, Cl 154 mEq/L) or Hartmann's solution (Na 130 mEq/L, K 4 mEq/L, Cl 110 mEq/L) should be administered. In addition, it must be noted that clo monitoring of the children
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