OBJECTIVE: To determine the long-term outcome of neonatal dehydration. STUDY DESIGN: We identified 182 newborns who were rehospitalized with dehydration (weight loss > or =12% of birth weight and/or serum sodium > or =150 mEq/L) and 419 randomly selected controls from a cohort of 106,627 term and near-term infants with birth weight > or =2000 [...]
Maintaining adequate fluid balance is an essential component of health at every stage of life. Age-related changes make older adults more vulnerable to shifts in water balance that can result in overhydration or, more frequently, dehydration. This article reviews age-related changes, risk factors, assessment measures, and nursing interventions for dehydration.
OBJECTIVES: To determine the incidence of neonatal dehydration leading to rehospitalization, whether clinical and health services data could predict its occurrence, and the outcome of dehydrated infants. METHODS: We employed a retrospective case-control design nested within a cohort of 51 383 newborns weighing 2000 g or more, with a gestational age of 36 weeks or [...]
Neurologic damage secondary to dehydration occurs in one of two ways; there can be circulatory shock with hypoxic damage, or a hypernatremic state with cerebral hemorrhage and sometimes thrombosis. The shock variety is most often seen after massive water and electrolyte losses from diarrheal disease; the hypernatremic variety has also been mostly seen in diarrheal [...]
There is a concern that lactation failure and neonatal morbidity might be more common than previously thought. Maybe the early discharge, the lack of timely follow-up, or poor information during pregnancy or after delivery play important roles. A case of severe hypernatremic dehydration secondary to lactation failure is reported and we analyze recent recommendations. PMID: [...]
OBJECTIVES: To verify in exclusively breast-fed, term infants the incidence of hypernatremic dehydration and identify possible maternal and/or infant factors that interfere with successful breast-feeding. STUDY DESIGN: We prospectively included all healthy breast-fed neonates referred to our Neonatology Unit between October 1999 and March 2000. All neonates with a weight loss > or = 10% [...]
Severe neonatal hypernatremia is an important electrolyte disorder that has serious effects on the central nervous system, including brain edema, intracranial hemorrhage, hemorrhagic infarct, and thrombosis. Cerebral venous thrombosis is relatively rare in severe neonatal hypernatremic dehydration. The English literature contains only a few reports of the cranial radiological findings in severe neonatal hypernatremia. The [...]
No abstract available.
CONTEXT: Dehydration and concussion are common in athletic performance. Some experts have speculated that dehydration may negatively influence performance on tests commonly used for concussion assessment. OBJECTIVE: To determine how the signs and symptoms, neuropsychological performance, and postural stability are affected by dehydration. DESIGN: Repeated-measures design assessing subjects in the euhydrated and dehydrated conditions.Setting: Sports [...]
OBJECTIVE: The fluid recommendation for adults aged 70+ years has been criticised on the basis of a low prevalence of dehydration in community-dwelling older adults. This study explores whether the low prevalence might reflect limitations of individual dehydration indices. DESIGN: Cross-sectional data on plasma sodium, blood urea nitrogen (BUN), creatinine, glucose and potassium were used [...]