Neonatal Hypernatremic Dehydration Associated with Lactation Failure

Table 1

Calculation used to correct the fluid deficit.

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General information

 Birth weight = 3.4 kg, admission weight = 2.26 kg

 Weight loss = 1.14 kg, percent dehydration = 1.14/3.4 = 33.6%

 Free water loss = 1140 ml

Fluid therapy

Step 1: emergency phase

 Restore vascular volume with boluses 20 ml/kg of N/S

  over 20 minutes repeated 3 times = 204 ml.

Step 2: rehydration phase

 Aim to correct water deficit and sodium excess within 72 hours.

 □ Maintenance during 3 days:

 □ Maintenance deficit = , and take initial hydration fluid out of this.

 □ of 5% dextrose + 1/2 normal saline.

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