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Clinical Pediatrics, Vol. 20, No. 3, 199-204 (1981)
DOI: 10.1177/000992288102000305

Sodium and Water Content of Feedings for Use in Infants with Diarrhea

Stuart H. Walker

Department of Pediatrics, University of Maryland

Victoria P. Gahol

Department of Pediatrics, Mercy Hospital, Baltimore, Maryland

Bernardo A. Quintero

Department of Pediatrics, Mercy Hospital, Baltimore, Maryland

The sodium and water intakes of a group of infants treated for diarrhea and dehydration in 1972-73, when hypernatremia was common, and a group of infants treated for diarrhea and dehydration in 1978-79, when hypernatremia was rare, were compared. Infants from both study periods whose intake was poor and who received feedings containing sodium in concentrations greater than 17 mEq/liter were more likely to develop elevated serum sodium con centrations. In a group of infants recovering from diarrhea, the effect upon the serum concentration of sodium of varying water and sodium intake was studied. Those treated with small amounts of a solution containing 30 mEq sodium per liter regularly demonstrated an elevation of serum sodium, whereas those treated with large amounts of the same solution regularly demonstrated a depression. It is concluded that infants with diarrhea should receive feed ings containing sodium in concentrations less than 17 mEq/liter unless a high fluid intake can be assured.


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