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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.

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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis. 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! Pediatr Diabetes. PMID: 23499379.

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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. Arch Pediatr Adolesc Med. Pediatric Emergency Care, 27 (10), 978-985.

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Grand Rounds Recap 11.8.23

Taming the SRU

airway grand rounds - r1 clinical knowledge: heavy metals - consultant corner: acute leukemia - pediatric sim - pediatric cases airway grand rounds WITH dr. carleton Difficult airway algorithm: when should we RSI? Abdominal pain, nausea, vomiting, and dehydration are common.

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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. Also, newborns have a double-whammy administrative load. Pediatrics. Pediatrics. Home care The neonate who is safe to go home is well appearing, and not dehydrated. None of them became dehydrated or became sunburned.

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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

Currently, the administration of water for the paediatric population is based on the Holliday-Segar formula (100ml/kg/day for the first 10kg of weight, 50ml/kg/day for the second 10kg of weight and 20ml/kg/day for weight over 20kg). As well as considering volume, hyponatraemia is a harmful consequence of incorrect administration of fluids.

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Subcutaneous Rehydration

Pediatric Emergency Playbook

⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the stable, but dehydrated child repeatedly without success What now? in 2007 compared subcutaneous administration of lactated ringer’s solution by gravity with and without hyalurondase.