Preliminary Observation of Impaired Water Excretion in Treated Status Asthmaticus

Rosalyn Singleton, Donald I. Moel*, Richard A Cohn

*Corresponding author for this work

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Patients in status asthmaticus often have elevated plasma antidiuretic hormone levels. To determine if children in status asthmaticus have impaired water excretion and an increased risk of developing significant hyponatremia when given a fluid challenge, five consecutive patients who showed moderate asthmatic symptoms after taking two doses of epinephrine hydrochloride were given a fluid challenge (20 mL/kg of 5% dextrose in 0.2% normal saline solution given intravenously over 30 minutes followed by maintenance fluids [1,500 mL/sq m/24 hr] for 50 minutes). Urine was collected at 20-minute intervals for measurement of free-water clearance and percent water-load excretion in 80 minutes. This protocol was repeated 24 to 48 hours later, after clinical improvement. None of the patients was hyponatremic during status asthmaticus before water loading.

Original languageEnglish (US)
Pages (from-to)59-61
Number of pages3
JournalAmerican Journal of Diseases of Children
Volume140
Issue number1
DOIs
StatePublished - Jan 1 1986

Fingerprint

Status Asthmaticus
Observation
Water
Hyponatremia
Vasopressins
Sodium Chloride
Epinephrine
Maintenance
Urine
Glucose

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

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title = "Preliminary Observation of Impaired Water Excretion in Treated Status Asthmaticus",
abstract = "Patients in status asthmaticus often have elevated plasma antidiuretic hormone levels. To determine if children in status asthmaticus have impaired water excretion and an increased risk of developing significant hyponatremia when given a fluid challenge, five consecutive patients who showed moderate asthmatic symptoms after taking two doses of epinephrine hydrochloride were given a fluid challenge (20 mL/kg of 5{\%} dextrose in 0.2{\%} normal saline solution given intravenously over 30 minutes followed by maintenance fluids [1,500 mL/sq m/24 hr] for 50 minutes). Urine was collected at 20-minute intervals for measurement of free-water clearance and percent water-load excretion in 80 minutes. This protocol was repeated 24 to 48 hours later, after clinical improvement. None of the patients was hyponatremic during status asthmaticus before water loading.",
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Preliminary Observation of Impaired Water Excretion in Treated Status Asthmaticus. / Singleton, Rosalyn; Moel, Donald I.; Cohn, Richard A.

In: American Journal of Diseases of Children, Vol. 140, No. 1, 01.01.1986, p. 59-61.

Research output: Contribution to journalArticle

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