Isotonic vs Hypotonic Intravenous Fluids for Hospitalized Children

JAMA. 2015 Aug 18;314(7):720-1. doi: 10.1001/jama.2015.7918.

Abstract

Clinical question: Is isotonic fluid associated with a lower incidence of hyponatremia when compared with hypotonic fluid for maintenance intravenous fluid therapy in children?

Bottom line: Compared with hypotonic fluid, isotonic fluid is associated with a lower incidence of hyponatremia, without evidence of an increase in adverse outcomes.

Publication types

  • Comment

MeSH terms

  • Fluid Therapy / adverse effects*
  • Humans
  • Hyponatremia / etiology*
  • Hypotonic Solutions / adverse effects*
  • Isotonic Solutions / adverse effects*
  • Saline Solution, Hypertonic / adverse effects*

Substances

  • Hypotonic Solutions
  • Isotonic Solutions
  • Saline Solution, Hypertonic