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AmoZee

What is the ideal managment of collodion babies with hypernatremia and hyperaldosteronism, hyperreninemia and oliguria

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how do you guys manage hypernatremia in collodion babies, we have a three-month-old with hypernatremia and hyperaldosteronism and hyperreninemia and oliguria, any suggestion on how to manage?

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On 3/19/2020 at 2:21 AM, AmoZee said:

how do you guys manage hypernatremia in collodion babies, we have a three-year-old with hypernatremia and hyperaldosteronism and hyperreninemia and oliguria, any suggestion on how to manage?

Is there an error in the patient age or diagnosis?  I can count on one hand the number of 3 year olds I have cared for in a NICU and collodion babies shed their initial dermatological findings in 1-3 weeks depending on etiology (at which time fluid management is much easier).

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These cases need enough hydration and well humidification .

We can determine our success by measuring levels of electrolytes and aldosterone.

Locally we should use emollients e.g. Olive oil 

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