Disturbances of sodium balance of newborn
ICD-10 P74.2 is a billable code used to indicate a diagnosis of disturbances of sodium balance of newborn.
Disturbances of sodium balance in newborns can manifest as either hyponatremia (low sodium levels) or hypernatremia (high sodium levels). These conditions are often transitory and can arise from various factors, including inadequate fluid intake, excessive fluid loss, or underlying metabolic disorders. In neonates, sodium balance is crucial for maintaining osmotic pressure, fluid balance, and overall cellular function. Hyponatremia may present with symptoms such as lethargy, irritability, and seizures, while hypernatremia can lead to dehydration, neurological impairment, and even renal complications. The management of sodium disturbances typically involves careful monitoring of serum sodium levels, fluid management, and addressing any underlying causes. Given the delicate nature of newborn physiology, prompt recognition and intervention are essential to prevent long-term complications. Clinicians must be vigilant in assessing fluid intake and output, especially in preterm infants or those with comorbidities, as they are at higher risk for electrolyte imbalances.
Detailed records of fluid management, electrolyte levels, and clinical observations are essential.
Neonates in the NICU with signs of dehydration or fluid overload, requiring electrolyte monitoring.
Neonates may have unique responses to electrolyte disturbances; thus, documentation must reflect individualized care plans.
Pediatric documentation should include growth parameters and developmental assessments alongside electrolyte management.
Pediatric patients with a history of neonatal electrolyte disturbances presenting with growth concerns.
Consideration of long-term effects of neonatal electrolyte imbalances on growth and development.
Used when managing a neonate with severe electrolyte disturbances requiring intensive monitoring.
Detailed documentation of clinical status, interventions, and response to treatment.
Neonatologists must ensure that all critical care elements are documented to support billing.
Common causes include inadequate fluid intake, excessive fluid loss, renal immaturity, and certain medications. Monitoring and managing these factors are crucial in preventing electrolyte imbalances.
