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Continuous venovenous hemodiafiltration in hypernatremic hyperglycemic nonketotic coma
- Source :
- Pediatric Nephrology. 17:969-973
- Publication Year :
- 2002
- Publisher :
- Springer Science and Business Media LLC, 2002.
-
Abstract
- Rapid changes in serum sodium concentration can result in adverse neurological outcome. The gradual correction of hypernatremia in the setting of acute renal failure can be difficult to achieve. We describe an obese female teenager who presented with severe hypernatremia, hyperosmolar hyperglycemic nonketotic coma, acute renal failure, and rhabdomyolysis. Her hypernatremia and other serum chemistries were gradually corrected by repeatedly adjusting the dialysate electrolyte composition used during continuous venovenous hemodiafiltration. She had a full recovery of her renal function. She does not have clinical neurological sequelae from hypernatremia during a 1-year follow-up period.
- Subjects :
- Nephrology
medicine.medical_specialty
Renal function
Rhabdomyolysis
Full recovery
Internal medicine
medicine
Humans
Obesity
Child
Coma
business.industry
Osmolar Concentration
Sodium
Hemodynamics
Continuous venovenous hemodiafiltration
Acute Kidney Injury
Water-Electrolyte Balance
medicine.disease
Anesthesia
Pediatrics, Perinatology and Child Health
Hyperglycemic Hyperosmolar Nonketotic Coma
Female
Hypernatremia
Hemofiltration
medicine.symptom
Acidosis
business
Hyperosmolar Hyperglycemic Nonketotic Coma
Subjects
Details
- ISSN :
- 1432198X and 0931041X
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Pediatric Nephrology
- Accession number :
- edsair.doi.dedup.....9760e33ac524cfa7e599721fd50ec874