Calculate an osmolal gap in the setting of anion gap metabolic acidosis Jennifer Maniscalco MD What to Do – Interpret the Data Metabolic acidosis develops when there is an accumulation…
Assess the volume status and electrolytes in children with poststreptococcal glomerulonephritis Brian Kit MD What to Do – Gather Appropriate Data Acute poststreptococcal glomerulonephritis (APSGN) is a sequela of group…
Accurately measure the blood pressure (BP) in all pediatric patients older than age 3 and in younger high-risk patients Jennifer Maniscalco MD What to Do – Gather Appropriate Data Hypertension…
It is likely worse to treat young infants and toddlers with hypotonic intravenous (IV) fluid (D5 1/2 or D5 1/3), because hypo-osmotic fluids can lead to iatrogenic hyponatremia Madan Dharmar…
Remember, in hyperglycemic states, a “factitious hyponatremia” occurs Esther Forrester MD What to Do – Make a Decision To have a thorough understanding of fluid and electrolyte issues, one must…
Be aware of hypoglycemia in diabetic patients taking insulin Sophia Smith MD What to Do – Gather Appropriate Data Type 1 diabetes mellitus is a condition resulting from destruction of…
Monitor mental status in patients with diabetic ketoacidosis (DKA) during fluid and electrolyte replacement Mindy Dickerman MD What to Do – Gather Appropriate Data Cerebral edema is the most feared…
Remember that congenital adrenal hyperplasia (CAH) is in the differential diagnosis for children presenting with failure to thrive, shock, lethargy, vomiting, or circulatory collapse Cynthia Gibson MD What to Do…
Remember to provide both alpha and beta blockade for children with pheochromocytoma Cynthia Gibson MD What to Do – Take Action Pheochromocytomas are rare disorders in children. It is a…
Consider ketotic hypoglycemia when evaluating infants and toddlers for hypoglycemia William Giasi Jr. MD What to Do – Interpret the Data In infants and toddlers, signs and symptoms of hypoglycemia…
