Acute peritoneal dialysis as both cause and treatment of hypernatremia in an infant |
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| Authors: | Moritz M L del Rio M Crooke G A Singer L P |
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| Institution: | (1) Division of Nephrology, Children’s Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213–2538, USA. moritzm@chplink.chp.edu, US;(2) Department of Pediatrics, Albert Einstein College of Medicine-Montefiore Medical Center, Bronx, New York, USA, US |
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| 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.
Received: 2 January 2001 / Revised: 24 April 2001 / Accepted: 24 April 2001 |
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| Keywords: | Hypernatremia Peritoneal dialysis Infant Edema Critically ill Sodium |
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