EXTRACELLULAR HYPEROSMOLARITY SECONDARY TO HIGH-PROTEIN NASOGASTRIC TUBE FEEDING

Abstract
A case was described in which dehydration and hyperosmolarity developed while the patient was receiving naso-gastric tube feedings containing 210 g of protein and 2000 ml of water per day. It was pointed out that when the renal solute load is high the water intake must be correspondingly high to prevent dehydration and hyperosmolarity. Once the hyperosmolarity develops, it is easily treated by administering additional water.

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