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Manage episode 491446656 series 2873095
Content provided by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray, Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray, Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://staging.podcastplayer.com/legal.
Today, Dr. Monica Gray, Dr. Pradip Kamat, and Dr. Rahul Damania discuss two real-life pediatric cases of hyponatremia in the PICU. They talk through a case of a six-month-old baby with severe sodium depletion and a teenager dealing with cancer-related hyponatremia. The team breaks down the pathophysiology, walks us through the diagnostic workups, and discusses the careful management needed for these cases. They emphasize the importance of correcting sodium levels gradually and addressing the root cause of the problem. They share practical tips for intensivists and highlight why staying vigilant and following evidence-based care is so crucial when managing critically ill kids with electrolyte disturbances. Tune in to hear more!
Show Highlights:
- Discussion of hyponatremia in pediatric patients, particularly in the PICU
- Presentation of two case studies illustrating different presentations of hyponatremia
- Examination of the pathophysiology of hyponatremia, including its classification into hypovolemic, euvolemic, and hypervolemic types
- Overview of diagnostic investigations for hyponatremia, including volume status assessment and serum/urine electrolyte measurements
- Management strategies for hyponatremia, emphasizing the importance of gradual correction of sodium levels
- Risks associated with rapid correction of hyponatremia
- Importance of fluid management in different types of hyponatremia
- Role of pharmacological interventions in specific cases, such as SIADH
- Clinical presentation and symptoms associated with hyponatremia in pediatric patients
- Emphasis on continuous monitoring of sodium levels and clinical status during treatment
References:
- Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 71. Fluid and electrolyte issues in pediatric critical illness. Evans I, Joyce E. Page 866-872
- Rogers' textbook of Pediatric Intensive Care Chapter 108: Disorders of Water, Sodium and Potassium homeostasis: Schneider J & Glater-Welt L. Pages 1868-1880
- Harrison’s Principles of Internal Medicine Volume 1. Chapter 53: Fluid and Electrolyte Disturbances. Mount D. Pages 338-347
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