Health Condition 1: null- to compare the incidence of hyponatremia with maintenance fluids ( isotonic and hypotonic) in children with CNS infections
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: children of age 2month to 5 years with a clinical diagonosis of CNS infections requiring maintenance fluids for atleast 24 hrs
Exclusion criteria
Exclusion criteria: -serum sodium less than 135 or more than 145 mmol/ L before starting maintenance fluids - previously diagonosed renal disease -documented cerebral salt wasting -hepatic failure with fluid retention -shock at presentation -diarrhoea -known endocrinal disorder(DI/IDDM/CAH) -severe malnutrition(asTBW in malnourished children is 70-80%as compared to 60% age matched well nourished controls) -DKA/cranioenchephalic trauma (at risk of cerebral edema)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients developing hyponatremia(serum sodium 135mmol/L) after receiving intravenous maintenance fluids for atleast 24 hours.Timepoint: 24hrs | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. serum sodium values at 6,12,18,24 hours of receiving maintenance fluids Timepoint: 0,6,12,18,24 hrs;prism III scoreTimepoint: 0 and 24 hrs | — |
Countries
India
Contacts
Professor - Pediatrics LHMC, New Delhi