Dehydration detection

Early detection of dehydration in total parenteral nutrition

By measuring sodium and creatinine in urine

Home In the Netherlands there are more than 350 patients with intestinal failure. This number is increasing rapidly, partly as a result of an aging population and increasing care for patients with complex abdominal problems. In order to get enough nutrients, total parenteral nutrition (TPN) is administered by the patient himself through an IV (catheter) into the bloodstream.

About a quarter of patients with TPN have a high output stoma, which means that there is more loss of fluid and salts through the stoma than can be absorbed. The risk of dehydration, ultimately resulting in irreversible kidney damage, is high and occurs regularly.

Patients with intestinal failure often have to see their GP to have the sodium in the urine determined. The Gastrointestinal and Liver doctor can then determine whether there is dehydration. A low sodium level in the urine (<20-30 mmol / L) means that the body retains moisture and salt and is therefor a marker for dehydration. The result of the laboratory test often takes multiple days. In the mean time some of the patients are hospitalized as a result of the waiting times. A urine sodium rapid test at home can prevent dehydration in time and reduce the number of hospitalizations.

With the Fisic Medimate it is possible to determine the amount of sodium in urine in the home situation. This sodium rapid test is suitable for patients with a high output stoma with an increased risk of dehydration. The results no longer come days later, but are known within 10 minutes. The infusion policy can be adjusted immediately and dehydration can be prevented.

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