PICU Doc On Call

Salty Saga of Hyponatremia and Hypotension in the PICU


Listen Later

Today, Dr. Monica Gray, Dr. Pradip Kamat, and Dr. Rahul Damania discuss two real-life pediatric cases of hyponatremia in the PICU. They talk through a case of a six-month-old baby with severe sodium depletion and a teenager dealing with cancer-related hyponatremia. The team breaks down the pathophysiology, walks us through the diagnostic workups, and discusses the careful management needed for these cases. They emphasize the importance of correcting sodium levels gradually and addressing the root cause of the problem. They share practical tips for intensivists and highlight why staying vigilant and following evidence-based care is so crucial when managing critically ill kids with electrolyte disturbances. Tune in to hear more!

Show Highlights:

  • Discussion of hyponatremia in pediatric patients, particularly in the PICU
  • Presentation of two case studies illustrating different presentations of hyponatremia
  • Examination of the pathophysiology of hyponatremia, including its classification into hypovolemic, euvolemic, and hypervolemic types
  • Overview of diagnostic investigations for hyponatremia, including volume status assessment and serum/urine electrolyte measurements
  • Management strategies for hyponatremia, emphasizing the importance of gradual correction of sodium levels
  • Risks associated with rapid correction of hyponatremia
  • Importance of fluid management in different types of hyponatremia
  • Role of pharmacological interventions in specific cases, such as SIADH
  • Clinical presentation and symptoms associated with hyponatremia in pediatric patients
  • Emphasis on continuous monitoring of sodium levels and clinical status during treatment

References:

  • Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 71. Fluid and electrolyte issues in pediatric critical illness. Evans I, Joyce E. Page 866-872
  • Rogers' textbook of Pediatric Intensive Care Chapter 108: Disorders of Water, Sodium and Potassium homeostasis: Schneider J & Glater-Welt L. Pages 1868-1880
  • Harrison’s Principles of Internal Medicine Volume 1. Chapter 53: Fluid and Electrolyte Disturbances. Mount D. Pages 338-347

...more
View all episodesView all episodes
Download on the App Store

PICU Doc On CallBy Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray

  • 4.9
  • 4.9
  • 4.9
  • 4.9
  • 4.9

4.9

62 ratings


More shows like PICU Doc On Call

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

EMCrit FOAM Feed

1,873 Listeners

Emergency Medicine Cases by Dr. Anton Helman

Emergency Medicine Cases

545 Listeners

Core EM - Emergency Medicine Podcast by Core EM

Core EM - Emergency Medicine Podcast

263 Listeners

JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

499 Listeners

Pediatric Emergency Playbook by Tim Horeczko, MD, MSCR, FACEP, FAAP

Pediatric Emergency Playbook

303 Listeners

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

EM Clerkship

804 Listeners

Emergency Medical Minute by Emergency Medical Minute

Emergency Medical Minute

258 Listeners

Charting Pediatrics by Children's Hospital Colorado

Charting Pediatrics

266 Listeners

Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Critical Care Scenarios

251 Listeners

The Curious Clinicians by The Curious Clinicians

The Curious Clinicians

373 Listeners

Pediatrics On Call by AAP - American Academy of Pediatrics

Pediatrics On Call

236 Listeners

The Cribsiders by The Cribsiders

The Cribsiders

315 Listeners

PedsCrit by PedsCrit

PedsCrit

54 Listeners

Ninja Nerd by Ninja Nerd

Ninja Nerd

314 Listeners

Critical Care Time by Critical Care Time Podcast

Critical Care Time

233 Listeners