Extreme hypernatremia in a critically ill patient with feeding-jejunostomy: a case report

• Authors: Amarjeet Kumar , Kunal Singh , Poonam Kumari , Haasith Dara , Gayatri Sagdeo

Abstracts

EN

Hypernatremia is a frequent and potentially life-threatening condition in hospitalized patients. It is a disorder of water metabolism and is usually defined as a plasma sodium concentration above 145 mEq/L. The treatment of severe cases of hypernatremia might be challenging in patient with feeding jejunostomy. The average person’s GI tract secretes and reabsorbs around 7 L of gastrointestinal fluid (including 3-5 L originating above the pylorus alone). These 7 L of gastrointestinal fluid will significantly dilute whatever we consume or infuse. However, this dilution of enteral feed may be bypassed in by feeding jejunostomy. There are very few cases reported on extreme hypernatremia. We present a case of severe hypernatremia in patient with feeding-jejunostomy, managed successfully with the recommended correction.

Keywords

EN

Hypernatremia; jejunostomy; critically ill

• Publisher: Towarzystwo Pomocy Doraźnej
• Journal: Critical Care Innovations
• Year: 2023
• Volume: 6
• Issue: 1
• Pages: 36-40

Dates

published

2023

Contributors

author

Amarjeet Kumar

author

Kunal Singh

author

Poonam Kumari

author

Haasith Dara

author

Gayatri Sagdeo

References

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Identifiers

DOI

10.32114/CCI.2023.6.1.36.40

Biblioteka Nauki

29432055