2023 8 Fluid and electrolyte management in children

Abnormalities of fluids and electrolytes are very common in childhood illnesses. Pediatricians and registrars need to know how to clinically assess a child’s fluid status, the types of fluid and electrolyte changes commonly seen in different illnesses, and how to correct them. In this session we will cover fluid and electrolyte physiology in children, including the water compartments in the body, the role of anti-diuretic hormone (ADH), and the renin-angiotensin system. We will discuss the composition of the different types of intravenous fluids used in paediatrics, how to calculate fluid replacement in children with dehydration, how to make up a 5% glucose solution from plain Hartmann solution or 0.9% NaCl, and the management of hyponatraemia, hypernatraemia, and hypokalaemia.

[@jadabuchanan2992]

Very helpful. Thank you!

[@asthapandey6215]

Thank you sir....nice lecture

[@ambereenalam8980]

Great lecture !! Thank you so much doc

[@chisomchimezie]

Please I wish someone would explain this to me how is the deficit 900mls and why are we assuming the pt is 10% dehydrated? What is the maximum % of dehydration a child can be?

[@Ignatius7778]

Thank you Prof.
With regards to severe hypernatremia, what is your take on giving free water for severe hypernatremia with dehydration?