Jump to content

JOIN THE DISCUSSION!

Want to join the discussions?

Sign up for a free membership! 

If you are a member already, log in!

(lost your password? reset it here)

99nicu.org 99nicu.org

Electrolyte during contraction phase


Recommended Posts

No electrolytes (except possible Ca) in the first day or so, introduce modest amounts of Na and K in IVF/PN on day 2 or 3 based on diuresis and serum Na level.  Closer monitoring is required in ELBW/EPT infants.  In my experience in the early going the biggest problem people get into is giving too much free water as opposed to being off on the amount or timing of Na administration.  After a couple of days the biggest problem, especially in ELBWs, is that massive amounts of acetate given in TPN to compensate for the normal RTA are not adjusted quickly enough and people overshoot and end up with iatrogenic metabolic alkalosis.  Later we see the problem of inadequate provision of NaCl manifesting often as poor weight gain (especially in the ELBW advanced on term donor milk).

  • Like 5
Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...