Table.
Comparison of variables in a seven year old boy with hypernatraemia caused by salt poisoning (case 1) and in a boy aged eight months with dehydration (case 2)
Variable
|
Case 1
|
Case 2
|
|||||
---|---|---|---|---|---|---|---|
Time after admission (hours) | 0 | 24 | 0 | 1.8 | 17 | 48 | |
Body temperature (°C) | 36.8 | 39.2 | |||||
Body weight (kg) | 20.5 | 19.6 | 4.63 | 5.30 | 5.01 | ||
Change from stable weight (%) | +4.6 | 0 | −7.6 | +5.8 | 0 | ||
Plasma concentration: | |||||||
Sodium (mmol/l) | 155 | 132 | 156 | 162 | 144 | 139 | |
Bicarbonate (mmol/l) | 21 | 24 | 12 | 15 | 18 | 23 | |
Urea (mmol/l) | 2.0 | 4.5 | 10.6 | 10.9 | 4.9 | 4.1 | |
Creatinine (μmol/l) | 40 | 45 | 57 | 54 | 39 | 42 | |
Urinary concentration: | |||||||
Osmolality (mmol/kg) | 961 | 1003 | 480 | ||||
Sodium (mmol/l) | 172 | 30 | 152 | 80 | 94 | 36 | |
Creatinine (mmol/l) | 2.2 | 1.8 | 5.5 | 6.3 | 2.0 | 1.52 | |
Fractional excretion (%): | |||||||
Water | 1.81 | 2.50 | 1.04 | 0.86 | 1.95 | 2.76 | |
Sodium | 2.01 | 0.57 | 1.01 | 0.42 | 1.20 | 0.72 | |
Estimated excretion rate: | |||||||
Water (ml/kg/day) | 84 | 103 | 28 | 12 | 76 | 98 | |
Sodium (mmol/kg/day) | 14.6 | 3.1 | 4.3 | 1.9 | 5.7 | 3.6 |