Document Detail


Influence of NaCl supplementation on vasopressin secretion and water excretion in premature infants.
MedLine Citation:
PMID:  8260554     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The study was carried out to assess the possible involvement of excess AVP and free water retention in the development of late hyponatremia by comparing the postnatal course of plasma AVP and urinary excretion of AVP and sodium as well as creatinine, osmolar and free water clearances in premature infants with (group S) and without (group NS) NaCl supplementation. Plasma total protein and albumin concentrations were also determined. Group NS consisted of 8 infants with a birth weight of 1,150-1,730 g (mean: 1,440 g) and gestational age of 28-32 weeks (mean: 30.4 weeks). Group S included 8 infants with a mean birth weight of 1,390 g (range: 980-1,700 g) and a mean gestational age of 30.1 weeks (range: 27-32 weeks). Measurements were made on the 7th day and weekly thereafter until the 5th week of life. NaCl supplementation was given in a dose of 3-5 and 1.5-2.5 mmol/kg/day for 8-21 and 22-35 days, respectively. Infants receiving sodium supplements had significantly greater urinary sodium excretion (p < 0.01), retained more sodium (p < 0.01), maintained plasma sodium at normal levels and gained weight at slightly higher rates when compared with those on low sodium. Plasma AVP tended to be higher in group S but did not differ significantly from that in NS group. Urinary AVP excretion, however, either expressed in ng/day or ng/100 ml GFR, was significantly higher in group S, although the age-related increase could not be seen when correction was made for GFR.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
E Sulyok; W Rascher; Z Baranyai; T Ertl; L Kerekes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Biology of the neonate     Volume:  64     ISSN:  0006-3126     ISO Abbreviation:  Biol. Neonate     Publication Date:  1993  
Date Detail:
Created Date:  1994-01-25     Completed Date:  1994-01-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0247551     Medline TA:  Biol Neonate     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  201-8     Citation Subset:  IM    
Affiliation:
County Children's Hospital, Pécs, Hungary.
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MeSH Terms
Descriptor/Qualifier:
Arginine Vasopressin / blood*,  urine*
Blood Proteins / metabolism
Creatinine / urine
Diuresis / drug effects*
Gestational Age
Glomerular Filtration Rate
Humans
Infant
Infant, Newborn
Infant, Premature / physiology*
Natriuresis
Serum Albumin / metabolism
Sodium Chloride / administration & dosage,  therapeutic use*
Chemical
Reg. No./Substance:
0/Blood Proteins; 0/Serum Albumin; 113-79-1/Arginine Vasopressin; 60-27-5/Creatinine; 7647-14-5/Sodium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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