RT Book, Section
A1 Duke, Trevor
A2 Kline, Mark W.
SR Print(0)
ID 1182925484
T1 Fluid Management of the Acutely Ill or Injured Child
T2 Rudolph's Pediatrics, 23e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259588594
LK accesspediatrics.mhmedical.com/content.aspx?aid=1182925484
RD 2024/04/19
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.