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Volume 3 Issue 1 (January - March, 2015)

Original Articles

Study of electrolyte disturbances and renal parameters in acute gastroenteritis under 5 years of age in a tertiary care hospital of Chhattisgarh India
Sandeep S. Mogre

Introduction: In the present study, an attempt has been made to outline the spectrum of electrolyte disturbances and renal involvement in children with acute gastroenteritis. Materials and Methods: Study Participants were divided into two groups based on their age. In Group-1: Children in the age range of 3 months to 12 months were included and in the Group-2: Children in the age range of 13 months to 24 months were considered to correlate different degrees of the dehydration and types of dyselectrolytemia. All children aged one month to 5 years with acute gastroenteritis admitted in the Paediatric department were included. Results: Majority of admitted children with AGE had isonatremia (55.9%) followed by hyponatremia in 34.6% cases. Hypernatremia was seen in only 7% of the study population. Isokalemia was seen in majority (78.7%) followed by hypokalemia in 13.3% cases. Hyperkalemia was seen in 7.8% of the children. Conclusion: Dyselectrolytemia particularly hyponatremia and hypokalemia are seen in children with acute diarrhea. The level of serum sodium and potassium decreased and urea and creatinine increased with severity of dehydration. Improper dilution of ORS can lead to electrolyte imbalance.

 
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