0
Article |

Dehydration and Osmolality

LAURENCE FINBERG, MD
Am J Dis Child. 1981;135(11):997-998. doi:10.1001/archpedi.1981.02130350001001.
Text Size: A A A
Published online

The article by Tejani et al in this issue (p 1000) makes two important points about hypernatremic dehydration. The first has to do with its incidence expressed as a proportion of all dehydrated infants admitted to the hospital for dehydration secondary to enteritis over a certain period. From 1950 to 1970, various reports from the United States and similar countries gave percentages varying from 9% to 68% for particular periods.1 During that era, corresponding incidences of hypernatremia in developing countries were much lower. We speculated that malnutrition with its low body-water tonicity and low-solute diets were factors. Hypernatremic dehydration was one more adverse consequence of a technologically advanced, affluent industrial society.

Our speculations were probably correct. As formula feeding has moved to underdeveloped areas, reports from these areas have shown an increase in the frequency of hypernatremia since 1970.1,2 As lower-solute feedings—no more home-prepared dry-milk feedings in Great

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();