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- W2336254666 abstract "A 1,695-g, 3-week-old male infant is transferred to the neonatal intensive care unit (NICU) for further evaluation of acute-onset hypertension and hyponatremia. He was born at 322/7 weeks’ gestation by cesarean delivery because of preeclampsia to a 24-year-old, gravida 3, para 2 mother with unremarkable prenatal laboratory test results. Apgar scores are 8 and 8 at 1 and 5 minutes, respectively. He develops respiratory distress after birth and is admitted to the NICU, where he has an umbilical artery catheter placed 1 day after birth for blood pressure and laboratory test monitoring. He is intubated and remains intubated for the first week. His course is subsequently unremarkable until 3 weeks, when he becomes hypertensive with systolic blood pressures in the 90s and is found to have a sodium level of 127 mEq/L (127 mmol/L) with normal prior electrolyte levels.On admission to the referral center at age 3 weeks, the patient’s blood pressure is 121/84 mm Hg, and his sodium level is 124 mEq/L (124 mmol/L). Physical examination findings are consistent with dehydration because he is found to have poor skin turgor and mottling. He is started on an infusion of 10% dextrose in half amount of normal saline, transitioned to 10% dextrose in two-third amount of normal saline, and then eventually to 10% dextrose in normal saline. During this time, electrolytes are monitored frequently to avoid an overly rapid correction of hyponatremia. Sodium improves and normalizes within 2 days of admission. A nephrologist is consulted for blood pressure management. The patient initially receives hydralazine as …" @default.
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- W2336254666 date "2016-01-01" @default.
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- W2336254666 title "Case 1: Hypertension and Hyponatremia in a Neonate" @default.
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- W2336254666 doi "https://doi.org/10.1542/neo.17-1-e37" @default.
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