4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Electrolyte Imbalance
Follow Us : Follow On Facebook Follow On Twitter Follow On Youtube
Specialist Answers
Question
Dear sir I frequently come across lots of cases of diarrhea from which some of them are hypertonic dehydration. We have no investigation facility, and most of the cases will have repeated fits then died despite the following regime 1- i.v fluid 1\5 glucose saline 80ml\kg weight slow infusion in two days after combating shock to avoid rapid correction of Na level 2- Ca in drip to avoid fit 3- antibiotic cover 4- antiepileptic measures 5- no investigation in all Iraq because of the war what will you do if you are in my place.
Answer
One may clinically suspect hypernatremic dehydration if the amount of dehydration is less than the amount of GI losses. In addition skin will be doughy and the child will be irritable. For clinical correction one may need to be given maintainence sodium plus deficit of about 2-4meq/kg and fluids as per grade of dehydration. 1/5 glucose slaine may be too hypoosmolar initially as a child with hypernatremic dehydration may have very high serum osmolality. Thus giving such a low osmolar fluid may lead to shift of fluid in the cerebral space and cerebral edema which may be the cause of convulsions and death.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us