Case Report

Hypernatremia: Correction Rate and Hemodialysis

Table 1

Dialysis and fluid balance.

Date Duration Na (D) Na (S) Bun/Cr Fluid balance

3/28/2012 4 150 190 198/6.09 1050
3/29/2012 1.2 140 161 97/3.80 N/A
3/30/2012 3 135 150 69/3.24 N/A
4/2/2012 3 135 139 47/3.49 −2000

Total IVF: 1440 mL due to infusion rate of 100 mL/hr for 6 days
Bolus IVF 500 on 3/30/12
Dialysis: 2000 − 1050 = 950
Blood flow rate: 250 mL/min; dialysate flow rate: 600 mL/min
Total IVF: 13950 mL