Evaluation and Management of Dehydration in Children

被引：18

作者：

Santillanes, Genevieve ^{[1
]}

Rose, Emily ^{[1
]}

机构：

[1] Univ Southern Calif, Keck Sch Med, Dept Emergency Med, 1200 North State St,GH Room 1011, Los Angeles, CA 90033 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2018年 / 36卷 / 02期

关键词：

Dehydration; Oral rehydration; Subcutaneous rehydration; Intravenous fluid; Fluid bolus; Hyponatremia; Hypernatremia; CRITICALLY-ILL ADULTS; INTRAVENOUS REHYDRATION; ACUTE GASTROENTERITIS; EMERGENCY-DEPARTMENT; PEDIATRIC GASTROENTERITIS; NETWORK METAANALYSIS; 0.9-PERCENT SALINE; CONTROLLED-TRIAL; PLASMA-LYTE; FLUID TYPE;

D O I：

10.1016/j.emc.2017.12.004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The article discusses the evaluation of dehydration in children and reviews the literature on physical findings of dehydration. Pediatric dehydration is a common problem in emergency departments, and wide practice variation in treatment exists. Dehydration can be treated with oral, nasogastric, subcutaneous, or intravenous fluids. Although oral rehydration is underutilized in the United States, most children with dehydration can be successfully rehydrated via the oral route. Selection of oral rehydration solution and techniques for successful oral rehydration are presented. Appropriate selection and rate of administration of intravenous fluids are also discussed for isonatremic, hyponatremic, and hypernatremic dehydration.

引用

页码：259 / +

页数：16

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