Hyponatremia in the very young chronic peritoneal dialysis patient.
Two anuric infants had recurrent hyponatremia during chronic peritoneal dialysis (PD). This occurred because at normal serum sodium concentrations ([Na]), Na losses from ultrafiltration (UF) were greater than the Na ingested from infant formula. Hyponatremia was corrected with increased oral Na intake or with increased dialysis solution [Na]. Anuric infants undergoing PD have hyponatremia because of their high UF requirements/body weight and the low Na content of proprietary infant formulas.
Department of Medicine, Walter Reed Army Medical Center, Washington, DC.
W D
WD
Paulson
G H
GH
Bock
A P
AP
Nelson
M M
MM
Moxey-Mims
L M
LM
Crim
D001835:Body Weight; D015314:Dialysis Solutions; D005527:Food, Fortified; D006801:Humans; D007010:Hyponatremia / Q000188:drug therapy / Q000209:etiology* / Q000378:metabolism; D007223:Infant; D007225:Infant Food; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D012964:Sodium / Q000627:therapeutic use
D015314:Dialysis Solutions; D012964:Sodium