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Conditions of Sodium Imbalance
Hypernatremia (hyper= too much + natr= sodium + emia=in the blood) is usually associated with dehydration, and instead of having too much sodium, there is too little water. This water loss can occur from illnesses with vomiting or diarrhea, excessive sweating from exercise or fever, or from drinking fluid that has too high concentrations of salt.
Hyponatremia (hypo=too little) is caused by water intoxication (drinking so much water that it dilutes the sodium in the blood and overwhelms the kidney's compensation mechanism) or by a syndrome of inappropriate anti-diuretic hormone secretion (SIADH). SIADH can be associated with illnesses like pneumonia, brain diseases, cancer, thyroid problems, and some medications.
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This article describes important principles and specific methods of fluid, electrolyte, and nutrition (FEN) management in newborns, with a special focus on patients with complex fluid and electrolyte requirements, including premature, very low birth weight (VLBW), and extremely low birth weight (ELBW) neonates, as well as patients who have undergone abdominal surgery and those who have sepsis.