article thumbnail

But Can You Just PO?

Taming the SRU

This article serves to briefly discuss IV fluids administration in the ED and the instances where they are not indicated. Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage.

article thumbnail

Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Risk Factors that seem to stay consistent: Administration of Bicarb for correction of acidosis has been shown to be associated with cerebral edema and DOES persist after correcting for severity of DKA!

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Trick of Trade: Alternative to a Pressure Bag for IV Fluids

ALiEM

You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration.

article thumbnail

Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1

article thumbnail

ToxCard: Iron

EMDocs

In 1997, the Food and Drug Administration (FDA) mandated unit-dose packaging for all iron-containing products with more than 30 milligrams of elemental iron. 6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Typically presents in the first few hours following ingestion.

article thumbnail

REBEL Core Cast 87.0 – Hypercalcemia

RebelEM

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0

article thumbnail

Grand Rounds Recap 11.8.23

Taming the SRU

Abdominal pain, nausea, vomiting, and dehydration are common. While we are often cautious with IVF, volume and rate of fluid administration does not cause cerebral edema. Glucose < 200 - 250 → add dextrose (D5 or D10 depending on rate of glucose drop) Potassium repletion K > 6.0: given 60 (half KPhos and KCl) K < 2.5: