Acute peritoneal dialysis as both cause and treatment of hypernatremia in an infant

M. L. Moritz, Marcela Del Rio, G. A. Crooke, L. P. Singer

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This report describes a 4-month-old infant with multisystem organ failure who developed severe hypernatremia (sodium 168 mEq/l) due to rapid free water removal associated with acute peritoneal dialysis instituted for fluid overload. The current report describes the pathophysiology of the hypernatremia, and its correction by low-sodium hypertonic peritoneal dialysis without compromising ultrafiltration or supplementing with free water. Although peritoneal dialysis can cause hypernatremia, a modified solute concentration in the dialysate can treat the hypernatremia successfully. This report describes a child with multi-system organ failure due to cardiogenic shock who developed severe hypernatremia secondary to aggressive fluid removal from acute peritoneal dialysis to treat anasarca. A mechanism for the development of hypernatremia is proposed. In addition, a method to adjust the solute concentration of the dialysate is proposed to effect successful therapy without compromising fluid removal or providing additional free water.

Original languageEnglish (US)
Pages (from-to)697-700
Number of pages4
JournalPediatric Nephrology
Volume16
Issue number9
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Hypernatremia
Peritoneal Dialysis
Dialysis Solutions
Water
Therapeutics
Sodium
Cardiogenic Shock
Ultrafiltration
Edema

Keywords

  • Critically ill
  • Edema
  • Hypernatremia
  • Infant
  • Peritoneal dialysis
  • Sodium

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health

Cite this

Acute peritoneal dialysis as both cause and treatment of hypernatremia in an infant. / Moritz, M. L.; Del Rio, Marcela; Crooke, G. A.; Singer, L. P.

In: Pediatric Nephrology, Vol. 16, No. 9, 2001, p. 697-700.

Research output: Contribution to journalArticle

Moritz, M. L. ; Del Rio, Marcela ; Crooke, G. A. ; Singer, L. P. / Acute peritoneal dialysis as both cause and treatment of hypernatremia in an infant. In: Pediatric Nephrology. 2001 ; Vol. 16, No. 9. pp. 697-700.
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