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Failure to thrive

Don't Forget the Bubbles

It is commonly seen in the first couple of years of life and accounts for 1-5% of paediatric hospital admissions for those under two. Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. Eur J Pediatr.

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She appears pale and dehydrated , and her level of alertness fluctuates. The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Pay specific attention to fluid status, looking for evidence of dehydration. 2015 Nov;46(5):586–9. The management of HUS is primarily supportive.

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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

If the fractional excretion of sodium is <1%, you agree with your consultant that you will also ask the nurses to account for the replacement of 5% dehydration (900ml) over 48h (≈ 19ml/h). Given the present urine output of 0.3ml/kg/hr and no dehydration replacement, you estimate she will receive ~1mmol/kg/day of sodium.

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Neonatal Jaundice

Pediatric Emergency Playbook

They may get a little dehydrated, especially if mother’s milk is late to come in. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. None of them became dehydrated or became sunburned. Bhutani et al.

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Are we on the right TRACT? 

Don't Forget the Bubbles

Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. Population 6171 children from three hospitals in Uganda and one in Malawi were assessed for eligibility. Do you believe the results?

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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. A Gastroenterology or Hepatology specialist review should ideally be sought within 24 hours of admission to the hospital. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. 2021 Jan;70(1):9-29.

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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss. Acute effects of synthetic cannabinoids: update 2015.