Can Profound Hypernatremic Dehydration Ever Be a Good Thing?
Journal Title: Journal Of Pediatric Critical Care - Year 2017, Vol 4, Issue 1
Abstract
A 3 month-old infant with severe hypernatremia (212 mEq/L) and hyperkalemia (11.7 mEq/L) presented with no electrocardiographic cardiotoxicity. The absence of hyperkalemic electrocardiographic conduction abnormalities raised the hypothesis that the presence of hypernatremia may have been cardioprotective. Then, following large volume normal saline resuscitation asystole occurred. We suspect this caused a rapid decrease in serum sodium concentration that made the heart more susceptible to emergence of conduction disturbance.
Authors and Affiliations
William E. Novotny, Matthew R. Ledoux, Cindy P. Keel, Devon Kuehn
Keywords
Related Articles
- EP ID EP335469
- DOI 10.21304/2017.0401.00167
- Views 122
- Downloads 0
Congenital chikungunya infection and neurodevelopmental outcomes at 18 months follow up- A case series from North India
Introduction : Early and late neurologic complications of congenital chikungunya fever has been underreported in published literature. We describe the acute clinical manifestations and long term neurodevelopmental outcom...
Predictors Of Community Acquired Methicillin Resistant Staphylococcus Aureus Infection At The Time Of Presentation To A Pediatric Emergency Department : A Retrospective Analysis
.
An Uncommon Cause of Hypertensive Urgency in Young Adolescent: Case Report
.
Getting Critical about Gastrointestinal and liver Issues in PICU
.
Clostridium Difficile : Epidemiology and Prevention
C. difficile is a Gram-positive anaerobic that forms part of the normal intestinal flora of the human beings.C. difficile infection (CDI) is the most common cause of hospital acquired diarrhea/antibiotic associated diarr...