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Management of severe dehydration
Author(s) -
Stephanie Strachan,
Lucy Francesca Morris
Publication year - 2017
Publication title -
journal of the intensive care society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.551
H-Index - 14
eISSN - 2057-360X
pISSN - 1751-1437
DOI - 10.1177/1751143717693859
Subject(s) - medicine , resuscitation , context (archaeology) , fluid replacement , intensive care medicine , acute kidney injury , hypernatremia , dehydration , surgery , paleontology , biochemistry , chemistry , biology , organic chemistry , sodium
The presented case is one of severe dehydration and acute kidney injury with significant resultant complications that required considerable fluid and electrolyte replacement. Approaches to fluid resuscitation in the context of hypernatraemia and the hyperosmolar state were considered and then judiciously combined to manage a complex case with a successful outcome. Conflicting guidance in this domain is discussed with recommendations for a future management strategy that is tailored to individual patients.

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