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Fluid Therapy and Dyselectrolytemia in PICU

Fluid therapy and electrolyte management are critical aspects of pediatric intensive care unit (PICU) management, aiming to restore and maintain fluid balance and electrolyte homeostasis in critically ill children. Clinical conditions necessitating PICU admission often lead to fluid shifts and electrolyte disturbances, including dehydration, hyponatremia, hypernatremia, hypokalemia, and hyperkalemia. Initial assessment involves evaluating hydration status, electrolyte levels, and monitoring vital signs and urine output. Fluid resuscitation strategies vary based on the underlying condition and may involve isotonic crystalloid solutions, colloids, or blood products. Careful monitoring is essential to prevent complications such as fluid overload or electrolyte imbalances. Electrolyte replacement is tailored to correct specific deficits or excesses while considering renal function and ongoing losses. Regular assessment and adjustment of fluid and electrolyte therapy based on clinical response and laboratory findings optimize outcomes and reduce the risk of adverse events in critically ill children in the PICU.

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Dr. Kiran Kumar G  Profile Image

Dr. Kiran Kumar G

HOD Pediatrics, Continental Hospital, Hyderabad

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Dr. Kiran Kumar G
  • 17th-April-2024, TIME : 5:00PM - 6:00PM
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Fluid therapy and electrolyte management are critical aspects of pediatric intensive care unit (PICU) management, aiming to restore and maintain fluid balance and electrolyte homeostasis in critically ill children. Clinical conditions necessitating PICU admission often lead to fluid shifts and electrolyte disturbances, including dehydration, hyponatremia, hypernatremia, hypokalemia, and hyperkalemia. Initial assessment involves evaluating hydration status, electrolyte levels, and monitoring vital signs and urine output. Fluid resuscitation strategies vary based on the underlying condition and may involve isotonic crystalloid solutions, colloids, or blood products. Careful monitoring is essential to prevent complications such as fluid overload or electrolyte imbalances. Electrolyte replacement is tailored to correct specific deficits or excesses while considering renal function and ongoing losses. Regular assessment and adjustment of fluid and electrolyte therapy based on clinical response and laboratory findings optimize outcomes and reduce the risk of adverse events in critically ill children in the PICU.