Abstract
Water and electrolyte balances in 7 marasmic infants during the first 6 days of treatment for diarrheal dehydration, were studied. The fluid therapy IV was started with 100 ml/kg of half isotonic saline in 2, 5% glucose, administered at 20 ml/kg/h. There after the maintenance solution for 100 cal/day was: water - 100 ml, Na - 3 mEq and K - 7,5 mEq.
The average solute load of 18 mOsm/100 cal/day was excreted at a concentration of 473 mOsm/1., in 38ml of obligatory water.
An average of 65 ml/100 cal/day of insensible water loss was obtained. From these, the average figure for total loss of water is 103 ml/100 cal/day.
The water of oxidation will provide nearly 10 ml, obtained from metabolism of proteins, fat and car-bohidrates. The balance, 93 ml/100 cal/day must be provided parenterally.
The maintenance need for Na and K was respectively 3, 0 and 2, 5 mEq/100 cal/day.
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Cardoso, A., Carrazza, F. & Sperotto, G. 19 The maintenance need for water and electrolytes in parenteral fluid therapy in marasmic infants dehydrated by diarrhea. Pediatr Res 15, 179 (1981). https://doi.org/10.1203/00006450-198102000-00039
Issue date:
DOI: https://doi.org/10.1203/00006450-198102000-00039
