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J Pediatr Intensive Care 2021; 10(01): 004-013
DOI: 10.1055/s-0040-1714703
Review Article

Evaluation of Hypervolemia in Children

Matjaž Kopač
1   Division of Pediatrics, Department of Nephrology, University Medical Centre Ljubljana, Ljubljana, Slovenia
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Abstract

Hypervolemia is a condition with an excess of total body water and when sodium (Na) intake exceeds output. It can have different causes, such as hypervolemic hyponatremia (often associated with decreased, effective circulating blood volume), hypervolemia associated with metabolic alkalosis, and end-stage renal disease. The degree of hypervolemia in critically ill children is a risk factor for mortality, regardless of disease severity. A child (under 18 years of age) with hypervolemia requires fluid removal and fluid restriction. Diuretics are able to increase or maintain urine output and thus improve fluid and nutrition management, but their benefit in preventing or treating acute kidney injury is questionable.

Keywords

hypervolemia - kidney injury - children


Publication History

Received: 18 January 2020

Accepted: 04 June 2020

Article published online:
30 July 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
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