@mastersthesis{10336/3989,
author = {Ortega Galan, Erika Paola},
year = {2012},
month = {7},
url = {http://repository.urosario.edu.co/handle/10336/3989},
abstract = {Abstract

   Background: The development of acute hyponatremia in hospitalized patients has been associated with the use of hypotonic maintenance fluids. .3,5-7,11-13,15-21 The objective of this study was to determine whether the use of hypotonic solutions (60 meq/l Na) as maintenance fluid in critical children most at risk of induce acute hyponatremia isotonic solution.

   Methods: This was a masked cohort trial. That included children who were admitted to FCI from September 2009 to the December 2011 with aged between 6 months to 10 years, who required maintenance intravenous fluids 60 meq/l Na o Ringer’s lactate.

   Results: We studied in total 117 patients and Seventy one children received 60  meq/l Na and forty six received Ringer’s lactate, demographic and clinical characteristics were similar in both groups. Of the patients who received 60 meq/L Na hyponatremia was found in 28, 1% (n=20) versus 17,4% ( n=8) of those receiving ringer’s lactate did not differ significantly ((RR=1.620 IC 95%: 0.779628) p=0,13).

   Conclusions:  In critical children requiring maintenance fluids no differences in the frequency of symptomatic hyponatremia induced by the type of solution used. Ringer’s lactate and dextrose with 60 meq/L Na were safe and effective to hold the state of hydration.},
keywords = {Hiponatremia},
keywords = {Sodio},
title = {Soluciones isotónicas versus hipotónicas como líquidos de mantenimiento en niños en estado crítico},
publisher = {Universidad del Rosario},
keywords = {Hyponatremia},
keywords = {Sodium},
}