Hypovolemia in Infants
Condition
Definition
Hypovolemia is a low level of fluid in the body. Lower levels of blood make it hard to get nutrients and oxygen to the body. The heart, kidney, brain, and liver are at higher risk of harm. Treatment is needed right away.
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Causes
Hypovolemia may be caused by:
- Dehydration due to:
- Problems absorbing fluids in the digestive tract
- Problems feeding
- An illness that results in vomiting or diarrhea
- Blood loss from an injury or illness
Risk Factors
Hypovolemia is more common in infants who are sick and have fever, vomiting, and diarrhea. Other things that may raise the risk are:
- Gastroenteritis
- Bacterial infections
- Childhood illnesses, such as bronchiolitis
- Not taking in enough fluids
Symptoms
Problems may be:
- Nausea and vomiting
- Diarrhea
- Few wet diapers
- Weakness
- Unusual sleepiness
- Irritability
- Sunken eyes
Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done.
The doctor may check the baby’s blood flow by putting pressure on their nail bed.
Treatment
The cause of the hypovolemia will need to be treated. The goal of treatment is to replace fluids. This can be done with rehydration therapy.
Prevention
The risk of hypovolemia may be lowered by offering extra fluids to a baby who has vomiting, diarrhea, or fever.
Healthy Children—American Academy of Pediatrics
National Heart, Lung, and Blood Institute
CANADIAN RESOURCES:
Caring for Kids—Canadian Pediatric Society
Sick Kids—The Hospital for Sick Children
Healthy Children—American Academy of Pediatrics
National Heart, Lung, and Blood Institute
CANADIAN RESOURCES:
Caring for Kids—Canadian Pediatric Society
Sick Kids—The Hospital for Sick Children
References
- Dehydration and hypovolemia in infants and children. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/dehydration-and-hypovolemia-in-infants-and-children.
- Hypovolemic shock. Cleveland Clinic website. Available at: https://my.clevelandclinic.org/health/diseases/22795-hypovolemic-shock.
Contributors
- Nicole S. Meregian, PA
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