Hydration and nutrition are essential for the maintenance of life. In patients at the end of life, artificial hydration and nutrition pose clinical, ethical, and logistical dilemmas. No strong evidence exists supporting the use of parenteral hydration/nutrition for the majority of terminally ill patients; however, a subset of patients may derive some benefit. Uncertainty about [...]
OBJECTIVE: WHO recommends Ringers lactate (RL) and Normal Saline (NS) for rapid intravenous rehydration in childhood diarrhea and severe dehydration. We compared these two fluids for improvement in pH over baseline during rapid intravenous rehydration in children with acute diarrhea. DESIGN: Double-blind randomized controlled trial. SETTING: Pediatric emergency facilities at a tertiary-care referral hospital. INTERVENTION: [...]
Ensuring that the nutrition and hydration needs of patients in hospital are met is part of the nurse's role. Adequate nutrition and hydration is vital for good health, from both a physical and psychological perspective, and should be considered a priority by nurses. Actions required by nurses may include addressing potential barriers and obstacles that [...]
Background: Patients admitted to surgery may be dehydrated, which is difficult to diagnose except when it is severe (>5% of the body weight). We hypothesized that modest dehydration can be detected by kinetic analysis of the blood hemoglobin concentration after a bolus infusion of crystalloid fluid.Methods:Four series of experiments were performed on 10 conscious, healthy [...]
Objective: It is purported that exercise-induced dehydration (EID), especially if ≥ 2% bodyweight, impairs endurance performance (EP). Field research shows that athletes can achieve outstanding EP while dehydrated > 2% bodyweight. Using the meta-analytic procedure, this study compared the findings of laboratory-based studies that examined the impact of EID upon EP using either ecologically valid [...]
In the absence of any food or fluid intake during the hours of daylight during the month of Ramadan, a progressive loss of body water will occur over the course of each day, though these losses can be completely replaced each night. Large body water deficits will impair both physical and cognitive performance. The point [...]
Hypernatremia is common in intensive care units. It has detrimental effects on various physiologic functions and was shown to be an independent risk factor for increased mortality in critically ill patients. Mechanisms of hypernatremia include sodium gain and/or loss of free water and can be discriminated by clinical assessment and urine electrolyte analysis. Because many [...]
Hyponatremia associated with diarrhea is usually caused by dehydration, with salt loss accompanying the excessive loss of water. On the other hand, hyponatremia in this setting can occasionally be caused by excess ingestion or administration of hypotonic fluids (1, 2). In this report, we describe the differential diagnosis of hyponatremia in an infant.
The ability of the kidneys to concentrate urine is regarded as a sensitive indicator of renal function.1Â Since concentration tests are easily done, they enjoy wide clinical use. This renal activity is usually studied by measuring urine specific gravity, i.e. the ratio of the weight of urine to an equal volume of water. The specific gravity [...]
BACKGROUND. Despite the importance of hydration, limited research has been undertaken in Arabic populations. METHODS: Study 1: 88 adult military cadets and 32 school-based adolescents provided five sequential daily mid-morning urine samples. Hydration thresholds were produced using percentiles of estimated urine osmolality (Uosm) and urine color (Ucol). Study 2: 120 military cadets and 52 adolescents [...]