Yenidoğanda Sıvı ve Elektrolit Dengesi

Year 2016, Volume: 8 Issue: 2, 34 - 37, 30.03.2016

Doç. Dr. Nihal Demirel

Abstract

Öz

Sıvı ve elektrolit dengesinin sağlanması, hem intrauterin dönemde hem de doğum sonrası gelişim sürecinde normal hücre ve organ fonksiyonlarının sağlanması için gereklidir. Sıvı ve elektrolit dengesindeki fizyolojik değişikliklerin bilinmesi ve uygun desteğin sağlanması yenidoğan yoğun bakımının önemli konularından birisidir. Amaç fetüsün başarılı bir şekilde yenidoğan dönemine geçişini sağlamak, büyüme devresinde ve hastalıkların seyrinde normal sıvı elektrolit dengesini devam ettirebilmek-tir.  Bu derlemede term ve preterm bebeklerde sıvı-elektolit dengesi ve gereksinimleri ele alınmıştır.

Keywords

Yenidoğan, sıvı, elektrolit, postnatal adaptasyon

Fluid and Electrolyte Balance in Newborns

Abstract

Abstract

Maintenance of fluid and electrolyte is essential for normal cell and organ function during intrauterine development and throughout extrauterine life. Therefore, understanding of the physiologic changes in the neonatal fluid and electrolyte homeostasis and the provision of appropriate fulid are among the cornerstones of modern neonatal intensive care. This review addresses fluid and electrolyte balance and requirements in term and preterm newborns.

Keywords

Newborn, fluid, electrolyte, postnatal adaptation

References

• Kaynaklar 1.Posencheg MA, Evans JR. Acid-base, fluid, and electrolyte ma-nagement. In:Gleason CA, Devaskar SU, eds. Avery’s diseasesof the newborn. Philadelphia: Elsevier Saunders 2012: 367-89. 2.Gomella TL, Cunningham MD, Eyal FG. Neonatology: ma-nagement, procedures, on-call, problems. Mc Graw Hill& Lan-ge 2013:89-97. 3.Sulyok E. Renal aspects of sodium metabolism in the fetus andneonate. In: Oh W, Guignard JP, Baumgart S, Polin RA, eds.Nephrology and fluid/electrolyte physiology neonatologyquestions and controversies.Philadelphia: Elsevier Saunders2012: 31-59. 4.Gomella TL, Cunningham MD, Eyal FG. Çeviri editörleri: Ço-ban A, İnce Z. Neonatoloji: Tedavi, girişimler, sık karşılaşı-lan sorunlar, hastalıklar ve ilaçlar.İstanbul Tıp Kitapevi2012:68-76. 5.Dell KM. Fluid, electrolytes, and acid-base homeostasis. In:Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Mar-tin’s neonatal perinatal medicine- diseases of the fetus and in-fant.Philadelphia: Elsevier Saunders 2015:613-29. 6.Modi N, Smeulders N, Wilcox DT. Disorders of the kidney andurinary tract. In: Rennie JM, ed. Rennie and Robertton’s text-book of neonatology.Edinburgh : Churchill Livingstone/Els-evier2012: 927-952. 7.Modi N. Fluid and electrolyte balance. In: Rennie JM, ed. Ren-nie and Robertton’s textbook of neonatology.Edinburgh :Churchill Livingstone/Elsevier2012: 331-343. 8.Oh W. Body water changes in fetus and newborn: Normal tran-sition after birth and effects of intrauterine growth aberration.In: Oh W, Guignard JP, Baumgart S, Polin RA, eds. Nephro-logy and fluid/electrolyte physiology neonatology questions andcontroversies.Philadelphia: Elsevier Saunders 2012: 19-27. 9.Wilkins BH. Renal function in sick very low birth weight in-fants: Sodium, potassium, and water excretion. Arch Dis Child.1992;67:1154-61. 10.Gouyon JB, Houchan N. Assessment of urine specific gravityby reagent strip test in newborn infants. Pediatr Nephrol1993;7:77-78. 11.Lorenz JM. Potassium metabolism . In: Oh W, Guignard JP,Baumgart S, Polin RA, eds. Nephrology and fluid/electroly-te physiology neonatology questions and controversies.Phi-ladelphia: Elsevier Saunders 2012: 61-73.