Article ; Online: Fluid management in children with volume depletion.
Pediatric nephrology (Berlin, Germany)
2023 Volume 39, Issue 2, Page(s) 423–434
Abstract: Volume depletion is a common condition and a frequent cause of hospitalization in children. Proper assessment of the patient includes a detailed history and a thorough physical examination. Biochemical tests may be useful in selected cases. Understanding ...
Abstract | Volume depletion is a common condition and a frequent cause of hospitalization in children. Proper assessment of the patient includes a detailed history and a thorough physical examination. Biochemical tests may be useful in selected cases. Understanding the pathophysiology of fluid balance is necessary for appropriate management. A clinical dehydration scale assessing more physical findings may help to determine dehydration severity. Most dehydrated children can be treated orally; however, intravenous therapy may be indicated in patients with severe volume depletion, in those who have failed oral therapy, or in children with altered consciousness or significant metabolic abnormalities. Proper management consists of restoring circulatory volume and electrolyte balance. In this paper, we review clinical aspects, diagnosis, and management of children with volume depletion. |
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MeSH term(s) | Child ; Humans ; Dehydration/diagnosis ; Dehydration/etiology ; Dehydration/therapy ; Fluid Therapy/adverse effects ; Water-Electrolyte Balance ; Physical Examination |
Language | English |
Publishing date | 2023-07-14 |
Publishing country | Germany |
Document type | Review ; Journal Article |
ZDB-ID | 631932-4 |
ISSN | 1432-198X ; 0931-041X |
ISSN (online) | 1432-198X |
ISSN | 0931-041X |
DOI | 10.1007/s00467-023-06080-z |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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