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Related Concept Videos

Regulation of Water Intake01:25

Regulation of Water Intake

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Osmolality refers to the number of solute particles per kilogram of solvent in a solution. Plasma osmolality specifically indicates the total number of solute particles per kilogram of water in blood plasma. This value reflects the body's hydration status and is tightly regulated through mechanisms controlling water intake and output. While water consumption is a conscious decision, the body has intrinsic regulatory systems to maintain fluid balance. Dehydration, a state of water deficit...
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Disorder of Water Balance01:29

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Water balance disorders are medical conditions that occur when there is a deviation from the body's water volume or osmolarity, disrupting normal homeostasis and leading todehydration, hypotonic hydration, hyperhydration, edema, or water intoxication.
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Dehydration occurs when the body loses fluids (particularly water).
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The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
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Nephrotic Syndrome III : Nursing Management01:24

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Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
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Drug Dosing: Infants and Children01:29

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Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
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Introduction
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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
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Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings

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Hypernatremic Dehydration in Breast Fed Infants: Lessons from a Baby-Friendly Hospital.

B Butler1, H Trotman1

  • 1Department of Child & Adolescent Health, Faculty of Medical Sciences, University of the West Indies, Mona, St. Andrew, Jamaica.

Journal of Tropical Pediatrics
|December 5, 2020
PubMed
Summary

Early detection and intervention significantly reduce the severity and complications of hypernatremic dehydration in breastfed neonates. This study highlights improved outcomes compared to previous research, emphasizing the importance of prompt management.

Keywords:
breast feeding failurebreast feeding insufficiencybreastfeeding associated hypernatremic dehydrationhypernatremic dehydration

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Area of Science:

  • Neonatalogy
  • Pediatric Nephrology
  • Public Health

Background:

  • Breastfeeding-associated hypernatremic dehydration is a preventable cause of severe illness in newborns.
  • Previous studies indicate significant morbidity and mortality associated with this condition.

Purpose of the Study:

  • To determine the incidence, clinical presentation, and outcomes of neonates with breastfeeding-associated hypernatremic dehydration.
  • To compare current findings with data from an earlier study at the same institution.

Main Methods:

  • A retrospective review of neonatal unit admissions between 2002 and 2016.
  • Data extraction included maternal/neonatal demographics, clinical presentation, laboratory results, and outcomes.
  • Descriptive analyses were performed with statistical significance set at p < 0.05.

Main Results:

  • Eighty neonates were studied, with an incidence of 2.5 per 1000 live births.
  • Neonates presented with significant hypernatremia (mean serum sodium 156.1 mmol/l) and weight loss (16.3%).
  • Compared to a previous study, neonates were detected earlier, had lower serum sodium, urea, and creatinine levels, fewer complications, and no deaths.

Conclusions:

  • Early detection and intervention positively impact the severity and complications of breastfeeding-associated hypernatremia.
  • Improved management strategies have led to better outcomes in affected neonates.