Remove Blood Transfusions Remove Fluid Resuscitation Remove Pediatrics
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ToxCard: Iron

EMDocs

Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Blood transfusion for clinically significant blood loss.

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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Hypervolemia – leads to pulmonary edema: Consider diuresis If euvolemic – start maintenance fluids of D5 in 0.45%NS times maintenance. Can decrease rate when they are tolerating PO. Everyone needs atypical coverage.

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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. If euvolemic – start maintenance fluids of D5 in 0.45%NS Blood transfusion Reduces the overall proportion of HbS. Decreases splinting and improves tidal volumes. times maintenance. Improves oxygen carrying capacity.

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A Beginner’s Guide to Vasoactive Drug use in Children with Septic Shock

Don't Forget the Bubbles

So, fluid has been tried but has not got close to fixing the problem. In middle-to-high-income countries, after 40-60ml/kg of fluid resuscitation, the Surviving Sepsis Campaign International Guidelines recommend using vasoactive drugs. Pediatr Crit Care Med. Pediatr Crit Care Med. What are vasoactive drugs?

Shock 143
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emDOCs Revamp – Acute Chest Syndrome

EMDocs

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. Pediatr Allergy Immunol Pulmonol. Pediatr Blood Cancer.

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Neonatal Hypotension

Don't Forget the Bubbles

Effective management of MAS will often result in the stabilization of blood pressure. Before considering fluid resuscitation or inotropes, it is essential to correct the infant’s body temperature. “Role of Hydrocortisone in Treating Neonatal Hypotensive Shock,” Journal of Pediatrics and Neonatal Care.

Sepsis 59