Assessment of serum sodium levels in children with pneumonia: A hospital based study
Sadhana Kumari, Ravindra Kumar
The literature findings suggest that the lower respiratory infections (LRIs), pneumonia, atypical pneumonia, bronchitis, bronchiolitis, and severe acute respiratory syndrome (SARS), continue to threaten the health of children worldwide and especially in developing countries, where poor nutrition prevails and access to health care is scarce. Hence the current study was planned to evaluate the prevalence of the pneumonia in children and assess the level of serum sodium in affected children. The present study was planned on 50 children diagnosed with pneumonia. The study was planned in children referred to IPD and OPD department of Anugrah Narayan Magadh Medical College, Gaya, Bihar. At the time of admission, the patient’s clinical history was recorded in prefixed proforma. Venous blood sampling was obtained from each patient enrolled in the study and sent for estimation of electrolytes, blood urea, glucose levels. Serum sodium was measured by a process known as potentiometry. This method measures the voltage that develops between the inner and outer surfaces of an ion selective electrode. Hyponatremia is quite common in community acquired pneumonia cases that needed hospitalization. Initial measurement of serum sodium is recommended in all hospitalized pneumonia patients. Regular follow up of serum sodium level during the period of hospital stay should be considered to pick up the high risk cases at an early stage. Based on the above findings it can be concluded that regular estimation of serum electrolyte concentration and plasma and urine osmolality is necessary to guide appropriate fluid and electrolyte management of children with severe pneumonia requiring hospitalization.