TY - CHAP M1 - Book, Section TI - Fluid Management of the Acutely Ill or Injured Child A1 - Duke, Trevor A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - Children with acute or critical illness may be hypovolemic, euvolemic, or hypervolemic. They may have lost blood (eg, hemorrhagic shock), plasma (eg, severe burns), extracellular fluid (eg, gastroenteritis or diarrhea), or electrolytes. They may have internal compartment fluid redistribution (eg, ascites or capillary leak from sepsis or Dengue shock syndrome) and despite being edematous may still have intravascular volume depletion. Children with acute or critical illness may have renal impairment or high antidiuretic hormone (ADH) levels that results in fluid retention. Decisions about fluid management need to be based on clinical features and understanding of pathophysiology, thus systematic and repeated clinical evaluations are essential to good quality care. In this chapter, several acute clinical syndromes that require careful fluid management will be discussed. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182925484 ER -