Open AccessLife Threatening Severe Hypernatraemic Dehydration in Neonates: A Report of Two Cases
Author(s) -
Priyaja Paramasivam,
Sujay Kumar Earan,
Arulkumaran Arunagirinadhan,
Shilpa Kantamneni
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/25312.10298
Subject(s) - dehydration , medicine , intensive care medicine , hypernatremia , breastfeeding , pediatrics , biology , biochemistry , chemistry , organic chemistry , sodium
Hypernatraemic dehydration in neonates may lead to potentially lethal consequences like cerebral oedema, intracranial haemorrhage, hydrocephalus and gangrene. In the light of increase in the infants presenting with hypernatraemic dehydration, there is a definitive need to heighten the awareness and have a high degree of suspicion in diagnosis for this potentially lethal condition. We report two neonates of severe hypernatraemia with dehydration highlighting its diagnosis and management. Treatment of hypernatraemic dehydration involves correction of electrolyte imbalance by careful restoration of fluids and ensuring appropriate intake of calories. Promoting, protecting and supporting breastfeeding by careful breastfeeding assessment and including an early post partum follow up in the hospital protocol to detect any unusual weight loss in the newborn period plays a significant role in preventing this condition.