Article ; Online: Recognizing and Managing a Metabolic Crisis.
Pediatric clinics of North America
2023 Volume 70, Issue 5, Page(s) 979–993
Abstract: In some relatively common inborn errors of metabolism there can be the accumulation of toxic compounds including ammonia and organic acids such as lactate and ketoacids, as well as energy deficits at the cellular level. The clinical presentation is often ...
Abstract | In some relatively common inborn errors of metabolism there can be the accumulation of toxic compounds including ammonia and organic acids such as lactate and ketoacids, as well as energy deficits at the cellular level. The clinical presentation is often referred to as a metabolic emergency or crisis. Fasting and illness can result in encephalopathy within hours, and without appropriate recognition and intervention, the outcome may be permanent disability or death. This review outlines easy and readily available means of recognizing and diagnosing a metabolic emergency as well as general guidelines for management. Disease-specific interventions focus on parenteral nutrition to reverse catabolism, toxin removal strategies, and vitamin/nutrition supplementation. |
---|---|
MeSH term(s) | Humans ; Nutritional Status ; Ammonia ; Keto Acids ; Lactic Acid |
Chemical Substances | Ammonia (7664-41-7) ; Keto Acids ; Lactic Acid (33X04XA5AT) |
Language | English |
Publishing date | 2023-07-06 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 215711-1 |
ISSN | 1557-8240 ; 0031-3955 |
ISSN (online) | 1557-8240 |
ISSN | 0031-3955 |
DOI | 10.1016/j.pcl.2023.05.009 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Um IV Zs.147: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.