By William Oh, Jean-Pierre Guignard, Stephen Baumgart
Nephrology and Fluid/Electrolyte body structure, a quantity in Dr. Polin’s Neonatology: Questions and Controversies sequence, deals professional authority at the hardest neonatal nephrology and fluid/electrolyte demanding situations you face on your perform. This clinical reference ebook can help you offer greater evidence-based care and increase sufferer results with learn at the newest advances.
- Reconsider the way you deal with tricky perform concerns with assurance that addresses those subject matters head on and gives evaluations from the major specialists within the box, supported by means of facts every time possible.
- Find details quick and simply with a constant bankruptcy organization.
- Get the main authoritative suggestion to be had from world-class neonatologists who've the scoop on new traits and advancements in neonatal care.
- Stay present in perform with assurance on lung fluid stability in constructing lungs and its function in neonatal transition; acute difficulties of prematurity: balancing fluid quantity and electrolyte alternative in very-low-birth-weight and extremely-low-birth-weight neonates; and masses more.
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Extra info for Nephrology and Fluid/Electrolyte Physiology: Neonatology Questions and Controversies
Transitional Changes of Body Water after Birth Although the mechanism is unknown, there is a universal contraction of ECW in infants soon after birth associated with a weight loss of 7% to 15% of body weight by the end of the first week. The magnitude of contraction is inversely proportional to maturity. Term infants have an average of 5% to 7% weight loss during the first week (reflecting contraction of ECW),23 but very low birth weight (VLBW)24 and extremely low birth weight (ELBW)25 infants may lose 10% to 15% of body weight, respectively, during that same time frame (Fig.
18 A study by Lapillonne et al19 using DEXA analysis also found a reduced fat content in SGA near-term and term infants, although the difference did not reach statistical significance because of the small sample size. No conclusions about the effect of altered body composition of SGA neonates on the risk for neonatal complications or long-term outcome can be drawn from body fluid compartment measurements because studies including body composition measurements are usually small, and no clinical outcomes are reported.
38. Bell EF, Acarregui MJ. Restricted versus liberal water intake for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev. 2001;3:CD000503. 39. Bell EF, Acarregui MJ. Restricted versus liberal water intake for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev. 2000;2:CD000503. 40. Hartnoll G, Betremieux P, Modi N. Randomized controlled trial of postnatal sodium supplementation on oxygen dependency and body weight in 25–30 week gestational age infants.