Can Profound Hypernatremic Dehydration Ever Be a Good Thing?
Journal Title: Journal Of Pediatric Critical Care - Year 2017, Vol 4, Issue 1
Abstract
A 3 month-old infant with severe hypernatremia (212 mEq/L) and hyperkalemia (11.7 mEq/L) presented with no electrocardiographic cardiotoxicity. The absence of hyperkalemic electrocardiographic conduction abnormalities raised the hypothesis that the presence of hypernatremia may have been cardioprotective. Then, following large volume normal saline resuscitation asystole occurred. We suspect this caused a rapid decrease in serum sodium concentration that made the heart more susceptible to emergence of conduction disturbance.
Authors and Affiliations
William E. Novotny, Matthew R. Ledoux, Cindy P. Keel, Devon Kuehn
Keywords
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- EP ID EP335469
- DOI 10.21304/2017.0401.00167
- Views 124
- Downloads 0
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