Management of dehydrations, Fluids, and electrolytes in Pediatrics

**Recognize the different clinical and laboratory abnormalities in isonatremic, hyponatremic, and hypernatremic dehydration.
**Know how to manage isonatremic dehydration.
**Know how to manage hyponatremic dehydration.
**Know how to manage hypernatremic dehydration.
**Recognize how to avoid as well as treat complications of fluid and sodium repletion.
**Understand which patients are candidates for oral rehydration.

[samighosson]

I respect your great effort.
I wish you to clarify some points:
**Regardless to the type of dehydration, what's the maximum rate of IV fluids to avoid over volume heart failure ?
**IV re hydration with special situation:
^Ongoing losses of urine output more than 3 ml/kg/hour (e.g. in DKA )
^Fever
^Burn
^Increase intracranial pressure
^If the child can tolerate some oral fluids (e.g. 75 ml after 8 hours from starting IV fluids) this amount must be subtracted from the total ?

[amlyousif]

جزاكم الله خيرا علي تعبك. محاضره رائعه وملخصه جدا

[HafizahHoshni]

Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 😊😊 4/9/2019

[nicholousbhusal]

its de best thing that i hav ever learned, , , , thank u so much for amazing videos, , , , hope 2 c many more, , , ,

[gizem]

Finally so happy to understand this subject . Thank you very much 🙏

[mohdalilafi]

So for what do we use the fluid deficit containing electrolytes 24:30

[driqbalshaikh]

Sir I respect your so much efforts to educate.its great thank you sir

[vbuche]

Kindly check recent edition of Harriet lane, they have recommended, I stress, D5NS for isometric and hyponatremic denydration and D5 1/2 N.S. for hyperntremic dehydration, please go through now

[criticalmass]

all your videos are excellent..thanks..

[faredino]

I think there is a very minor error at 18:00... in the example, deficit of Na is 84mEq and not 84mEq/L because the 1L deficit of fluid was already counted... same for K, deficit is equal to 60mEq and not 60mEq/L

[sandramilan]

Do you know of any good fluid calculator online?

[vbuche]

Respected Sir, yours is an excellent presentation, infact my students, PG residents also liked it very much. Sir no confrontation at all. Please don’t misunderstand me.
Just thinking, giving HYPOTONIC ( more specific as hypo-osmolar) N HYPONITREMIC FLUID as maintenance in Isotonic and Hyponitremic dehydration, will exacerbate the dehydration as Fluid Will shift from ECF to ICF, making exacerbation of Hypovolemia in intravascular compartment. Hence it would be logical also to give iso- osmolar Fluid ie D5NS as maintenance? Please opine sir. Be a friend of mine. Mine ABG PPT is highest read in the world, may send you on your email. Thanks n best wishes 🙏.

[nzamalundama]

excellent video dr, i appreciated. thanks so mutch

[monnanasr]

Youe lecture 👌 is very good thanks can you explain to me how and when to give bicarb to correct metabolic acidosis

[xueyingify]

For the calculations, does anyone actually calculation for the first 8-hr and then the next 16-hrs? Or in practice people generally only use a 24-hr period?

[carmensalvo]

you are seriously the best, big thanks to you dr!! are you not doing more videos?

[samighosson]

Dear Sir.Thank you very much for those valuable videos.I want to 1/ understand how to calculate the ongoing losses by using bicarbonates if there is severe acidosis. 2/ there is overlap in rapid calculation of the rate in isonatremic dehydration : you said the rate is 1.5 or double or 2.5- 3 times the maintenance according to the severity OK. then at 32.19 you mention the maintenance plus the deficit volumes can be infused over 24 hours. please give another clinic case scenario with complete RAPID calculation of isonatremic dehydration.

[ahmeddefrawy]

salam alikom
first of all thank you for this effort
i would like to ask about the source of the lecture?!
and i would like to ask you to revise the calculation of case scenario regarding hypernatremic dehydration as there is a mistake

[samionoura]

Thank you so much for this video. Highly appreciated.

[sandramilan]

What if I calculate in hypernatremic dehydration the first 24 hrs first ?