Remove Dehydration Remove Hospitals Remove Shock
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But Can You Just PO?

Taming the SRU

Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage. demonstrated that use of ORT was characterized by shorter stays at the hospital. Oral intake is the most preferred method for receiving fluids.

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Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

Admission to hospital depending on severity of symptoms and need for further hydration Moral of the Morsel Diseases, just like our patients, are unique and varied! Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! Volume Status?!

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Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

Dehydration Surgery Pregnancy ( If we don’t ask we don’t know ) Many important IEM are included in the Newborn Screen. For milder forms of IEM, children can compensate until the body is under stress and may recover after stress (leading to delayed diagnosis). Viral infections also may cause metabolic stress.

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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. Iron Ingestion: an Evidence-Based Consensus Guideline for Out-of-Hospital Management. Manoguerra, A.

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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

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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

She had septic shock on presentation and was resuscitated with 60ml/kg of balanced crystalloid solution and escalating vasoactive medications. 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).

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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.