What is the role of normal saline in the treatment of severe pediatric dehydration?

Updated: Nov 12, 2018
  • Author: Alex Koyfman, MD; Chief Editor: Muhammad Waseem, MS, MBBS, FAAP, FACEP, FAHA  more...
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Answer

Isonatremic and hyponatremic volume depletion states may be treated with normal saline or other isotonic solutions. The goal for correction rates for either hyponatremic or hypernatremic patients should be no more than 0.5 mEq/L/h or no more than 8mEq/L per 24 hour period to prevent the devastating CNS complications of over-rapid correction (central pontine myelinolysis and cerebral edema). Full correction of severe sodium abnormalities usually should be staged over 24-48 hours or longer. [2]


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