From hypotonic maintenance fluid to severe hyponatremia: a case report
Open Access
- 7 June 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of Medical Case Reports
- Vol. 15 (1), 1-8
- https://doi.org/10.1186/s13256-021-02889-0
Abstract
Background: The principles for maintenance intravenous fluid prescription in children were developed in the 1950s. These guidelines based on the use of hypotonic solutions have been challenged regularly for they seem to be associated with an increased risk of hospital-acquired hyponatremia.Case presentation: We report the case of a 4-week-old Caucasian child admitted for acute bronchiolitis who received hypotonic maintenance fluids and developed severe hyponatremia (94 mmol/L) with hyponatremic encephalopathy.Conclusion: This clinical situation can serve as a reminder of the latest recommendations from the American Academy of Pediatrics regarding the use of intravenous fluids that promote the use of isotonic fluids in children.Keywords
This publication has 22 references indexed in Scilit:
- Maintenance Intravenous Fluids in Acutely Ill PatientsThe New England Journal of Medicine, 2015
- Isotonic vs Hypotonic Intravenous Fluids for Hospitalized ChildrenJAMA, 2015
- Hypotonic versus Isotonic Fluids in Hospitalized Children: A Systematic Review and Meta-AnalysisThe Journal of Pediatrics, 2014
- Clinical practice guideline on diagnosis and treatment of hyponatraemiaActa Endocrinologica, 2014
- Syndrome d’antidiurèse inappropriée (sécrétion inappropriée d’hormone antidiurétique)La Revue de Médecine Interne, 2012
- Maintenance intravenous fluid prescribing practices among paediatric residentsActa Paediatrica, 2012
- Isotonic saline solution as maintenance intravenous fluid therapy to prevent acquired hyponatremia in hospitalized children.Jornal de Pediatria, 2011
- Osmotic Demyelination SyndromeThe American Journal of the Medical Sciences, 2010
- The use of isotonic fluid as maintenance therapy prevents iatrogenic hyponatremia in pediatrics: A randomized, controlled open study*Pediatric Critical Care Medicine, 2008
- Hyponatraemia and death or permanent brain damage in healthy children.BMJ, 1992