Download Fluid and Electrolytes in Pediatrics: A Comprehensive by Leonard G. Feld MD, PhD. MMM, Aaron Friedman MD, Susan F. PDF
By Leonard G. Feld MD, PhD. MMM, Aaron Friedman MD, Susan F. Massengill MD (auth.), Leonard G. Feld, Frederick J. Kaskel (eds.)
One of the prevalent foundations of the perform of pediatric medication is the knowledge and alertness of the foundations of fluid, electrolyte and acid-base problems. awarded in a brand new softcover structure, Fluid and Electrolytes in Pediatrics: A finished Handbook brings jointly a pick out staff of authors who percentage a fondness and an appreciation of the contributions of pioneers in pediatric drugs and an services for his or her respective components in a brand new softcover variation. the quantity presents in-depth discussions of the elemental functioning of the kidneys, epidermis and the lungs. each one bankruptcy describes the etiology and demographics, organic mechanisms, sufferer presentation features, treatment thoughts and effects of optimum therapy in addition to not on time remedy. Fluid and Electrolytes in Pediatrics: A complete Handbook offers well-being execs in lots of components of study and perform with the main up to date, obtainable, and good referenced quantity at the value of the upkeep of fluid and electrolyte concentrations within the pediatric inhabitants, specifically below acute care.
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Extra resources for Fluid and Electrolytes in Pediatrics: A Comprehensive Handbook
Example text
6. Therapeutic Plan SIADH will not resolve until the underlying disease process has significantly improved or resolved (treatment of meningitis will not be discussed). The approach is a three-step process. 1. Acute presentation (neurological manifestations such as coma, encephalopathy, and seizures). a. There are two approaches for symptomatic presentation that can be used to increase the serum sodium concentration/serum osmolality. 5 mEq/mL). Regardless of the approach, when the symptoms are improved the 3% infusion should be discontinued.
The result is a higher extracellular fluid osmolality, which results in a fluid shift from the intracellular fluid compartment to the extracellular fluid compartment. This provides for better organ perfusion compared to iso- or hyponatremic dehydration of comparable degrees. The child on examination appears better perfused and provides a history of urine output rather than oliguria. This may lead to an underestimate of the degree of dehydration. In this case, the magnitude of the dehydration is about 10% or moderate.
Continued) The signs and symptoms of hyponatremic dehydration are primarily those of dehydration. Table 5 describes the generally accepted clinical signs and symptoms of dehydration as a percent of body weight lost. In general, with hyponatremia (hypoosmolality) the symptoms/signs are more pronounced than the actual percent of body weight lost. This occurs because the extracellular fluid space is more significantly impacted than in iso-osmolar (normal serum sodium) or hyperosmolar (hypernatremic) dehydration.