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Neonatal Hypernatremic Dehydration Associated with Lactation Failure
Joint Authors
Ogbe, Zemichael
Andegiorgish, Amanuel Kidane
Zeray, Aradom Habteab
Zeng, Lingxia
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Hypernatremic dehydration secondary to lactation failure remains a potentially life-threatening condition in countries where advanced laboratory investigations are scarce.
An 11-day term baby with excessive weight loss (33.6%), reduced urine output, fever, jaundice, doughy skin, opisthotonus posturing, and tachycardia with poor perfusion was presented to our neonatal care.
The baby was diagnosed with shock with hypernatremic dehydration.
An initial bolus of 20 ml/kg of N/S was repeated 3 times (each over 20 minutes), i.e., a total of 204 ml was given over 1 hr, until the vital signs were normalized to PR-145, RR-45, T-37.2°C, SPO2-100%, and CRT < 3 seconds, and the baby began to void urine.
Free water deficit and sodium excess was managed by gradual and slow correction over 72 hours to prevent cerebral oedema and neurologic sequelae.
The baby required reconstituted solutions of 5% D/W + 1/2 N/S at a rate of 27 ml/hr for 72 hrs.
Sepsis and hyperbilirubinemia were treated with antibiotics and phototherapy.
Management of symptomatic hypernatremic dehydration must be considered in settings with inadequate laboratory facilities.
American Psychological Association (APA)
Ogbe, Zemichael& Andegiorgish, Amanuel Kidane& Zeray, Aradom Habteab& Zeng, Lingxia. 2020. Neonatal Hypernatremic Dehydration Associated with Lactation Failure. Case Reports in Critical Care،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1146340
Modern Language Association (MLA)
Ogbe, Zemichael…[et al.]. Neonatal Hypernatremic Dehydration Associated with Lactation Failure. Case Reports in Critical Care No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1146340
American Medical Association (AMA)
Ogbe, Zemichael& Andegiorgish, Amanuel Kidane& Zeray, Aradom Habteab& Zeng, Lingxia. Neonatal Hypernatremic Dehydration Associated with Lactation Failure. Case Reports in Critical Care. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1146340
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146340