EM Basic

103 Pediatric IV Fluids


Listen Later

Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients.

What do you need to know from the 2018 AAP maintenance IV fluid guideline? 

How common is hyponatremia in hospitalized patients and why does it matter to your practice? 

What is SIADH and how does it contribute to hyponatremia in acutely ill children? 

How can we prevent hyponatremia in our hospitalized patients? 

What are the differences between hypotonic and isotonic fluids? 

What are balanced solutions and why might they be preferred as compared to saline in some clinical settings? 

All of this and more from the Department of Pediatrics and the Medical College of Georgia. 

Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode.

Questions, comments, or feedback? Please email us at [email protected] 

Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below.

  • Feld LG,Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083 
  • Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in CriticallyIll Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584 
  • CuzzoB, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/ 
  • Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS*A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72 
  • Peti-Peterdi J, Harris RC. Maculadensa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759 
  • Wilcox CS. Regulation of renal blood flow by plasma chloride.J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820 
...more
View all episodesView all episodes
Download on the App Store

EM BasicBy Steve Carroll, DO

  • 4.8
  • 4.8
  • 4.8
  • 4.8
  • 4.8

4.8

644 ratings


More shows like EM Basic

View all
EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

EMCrit FOAM Feed

1,864 Listeners

Behind The Knife: The Surgery Podcast by Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

1,301 Listeners

Core EM - Emergency Medicine Podcast by Core EM

Core EM - Emergency Medicine Podcast

251 Listeners

The Resus Room by Simon Laing, Rob Fenwick & James Yates

The Resus Room

104 Listeners

EM Clerkship by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

EM Clerkship

808 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,336 Listeners

Emergency Medical Minute by Emergency Medical Minute

Emergency Medical Minute

257 Listeners

Core IM | Internal Medicine Podcast by Core IM Team

Core IM | Internal Medicine Podcast

1,095 Listeners

Run the List by Walker Redd, Emily Gutowski, Navin Kumar, Joyce Zhou, Blake Smith

Run the List

248 Listeners

» Divine Intervention Podcasts by Divine-Favour Anene

» Divine Intervention Podcasts

993 Listeners

The World’s Okayest Medic Podcast by Mike Carunchio

The World’s Okayest Medic Podcast

166 Listeners

The Curious Clinicians by The Curious Clinicians

The Curious Clinicians

366 Listeners

The Cribsiders by The Cribsiders

The Cribsiders

317 Listeners

Cram The Pance by Scott Shapiro PA-C

Cram The Pance

1,065 Listeners

Ninja Nerd by Ninja Nerd

Ninja Nerd

285 Listeners