A physiological approach to fluid and electrolyte management of the preterm infant: Review. J Neonatal Perinatal Med 2020;13(1):11-19
Date
10/09/2019Pubmed ID
31594261DOI
10.3233/NPM-190309Scopus ID
2-s2.0-85083384284 (requires institutional sign-in at Scopus site) 20 CitationsAbstract
Despite the fact that hundreds of thousands of preterm infants receive parenteral fluids each year, study of optimal fluid and electrolyte management in this population is limited. Compared to older children and adults, preterm infants have an impaired capacity to regulate water and electrolyte balance. Appropriate fluid and electrolyte management is critical for optimal care of low birth weight or sick infants, as fluid overload and electrolyte abnormalities pose significant morbidity. This review highlights basic physiological principles which need to be applied when prescribing parenteral fluids and builds upon published literature to outline a rational approach to initial fluid and electrolyte management of the preterm infant.
Author List
Segar JLAuthor
Jeffrey L. Segar MD Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Body WaterFluid Therapy
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Kidney
Parenteral Nutrition
Parenteral Nutrition Solutions
Potassium
Sodium Chloride
Water Loss, Insensible
Water-Electrolyte Balance
Water-Electrolyte Imbalance