Abstract

HINOSTROZA, Juana; SOVERO, Yné; ESTREMADOYRO, Luis  and  CIEZA, Javier. Effects of fast intravenous expansion with Hartmann's solution and sodium chloride at 0.9% on the internal milieo, in patients with cholera like diarrhea. Rev Med Hered [online]. 1995, vol.6, n.2, pp.72-75. ISSN 1018-130X.

We compare the effect of rapid volume expansion with sodium chloride and Hartmann solution in metabolic acidosis and serum electrolytes of severely dehydrated patients due to choleriform diarrhea. Thirteen patients with severe dehydration due to choleriform diarrhea were attended at Hospital Nacional Cayetano Heredia, Lima - Perú, in February 1994. The patients were adults (14-60 years), 7 patients were expanded with ClNa 0.9% and 6 with Hartmann solution 50 cc/Kg/hour IV, until diuresis was recovered. The basal conditions were simile in both groups, the results at time of diuresis recovery with ClNa 0.9% expansion were: Na⁺ 148± 1.6 mEq/L, Cl^-: 118± 2.99 mEq/L, osmolality: 299± 3.97, pH: 7.23 ± 0.07, HCO3^-: 13.3 ± 3.10 mEq/L, with Hartmann solution expansion were: Na⁺: 142± 2.29 mEq/L, Cl^-:109 ± 2.74 mEq/L, osmolality: 290± 4.33, pH: 7.37 ± 0.07 and HCO3^-: 16.1 ± 1.36 mEq/L.We show the differences and the benefits of Hartmann solution when it is used in rapid volume expansion (Rev Med Hered 1995; 6: 72-75)

Keywords : Cholera; rehydration; sodium chloride; Hartmann solution.

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