This was a good and clear explanation, and this probably the first time I fully understand this subject, thank you!
@prakashduraisamy96814 жыл бұрын
Thanku you so much mam, m getting confident with my topics day by day because of your lectures
@pediatrictakesbydr.pavitra98134 жыл бұрын
Glad to hear that.All thebest
@mohdsalem9689 Жыл бұрын
Very intelligent, simple explanation doctor. I'm thankful for you
@lankagowthami99204 жыл бұрын
Thanq mam. Referred many standard books to understand it but of no use. Finally i could understand it. U made it so simple and nice mam
@pediatrictakesbydr.pavitra98134 жыл бұрын
It's my pleasure.Glad to hear it helped you
@animeshdebbarma3852 Жыл бұрын
Mam @ 20.22 min 0.6x15x(130-110) is not coming 300. Its coming 180 So, according to that fluid of choice will be 1/2 DNS + 28 ml of 3% NaCl + 35 mEq/L of KCl Please clearify mam.... whether I am wrong or not... Thanks
@dr.bindushreebk20163 жыл бұрын
MAM I loved the discussion.... such lovely you have explained in depth 🥰
@pediatrictakesbydr.pavitra98133 жыл бұрын
Thanks doctor
@pratibhadubey2514 жыл бұрын
Mam extra sodium deficit in lower sodium will be 180 not 300 ...???
@modrechaakhil44953 жыл бұрын
Yes it's ok concept is clearna ☺️
@drsanjaytripathi4 жыл бұрын
Very nice and lucid presentation
@pediatrictakesbydr.pavitra98134 жыл бұрын
Thank you doctor
@srutipradhan10133 жыл бұрын
Mam... Thank you so much for making every topic so simple and easy to understand 🙏🙏
@AngappanK-um1le5 ай бұрын
Excellent presentation madam.. thanks a lot
@mant13962 жыл бұрын
Hello ma'am, at 16:10 why did you use 0.6 instead of 0.8? Since you have stated that the given data remains the same except for the symptoms of seizure/decreased sensorium. (You did not mention that the patient's duration of illness changed)
@AlamkausharMd-vm8ph5 ай бұрын
Excellent presentation mam
@arjunparihar87273 жыл бұрын
Doubt . First of all thank you for simplifying such tricky concepts ma'am...your videos have been a real gem for our training. Now coming to the doubt, ma'am @20:50 mark in the video while explaining Fluid selection in a child with severe hyponatremia can we prepare 2 fluids...one in which SFD + Maintainence and half the extra sodium deficit is delivered on day 1. And on day 2 when Maintainence and remaining half of the extra sodium deficit will be delivered. This way SFD will be corrected earlier and we can still spread the sodium correction over 2 days. Actually for hypernatremic correction I cane across a similar approach in Harriet Lane ...that's why the doubt
@allenpj265328 күн бұрын
Nice explanation ma'am 😊
@jitendra0364 жыл бұрын
Mam while calculating extra sodium in a child who has come with 110 Na and long duration of illness, it is 0.6x15x20=180meq (instead of 300meq). I think mistakenly you calculated as 300 i feel.. correct me if i am wrong...time 19.04min
@pediatrictakesbydr.pavitra98134 жыл бұрын
You are very correct doctor. Apologies. My mistake.
@dilipgupta92734 жыл бұрын
Plz make video on Hyperkalemia and Hypokalemia with more emphasis on practical management with examples.. Thanks.
@pediatrictakesbydr.pavitra98134 жыл бұрын
Sure I will doctor.Thank you
@dilipgupta92734 жыл бұрын
@@pediatrictakesbydr.pavitra9813 Acid base disorders also Mam.
@mohammedparveez5603 Жыл бұрын
Best 🎁 presentation
@oleohh14 жыл бұрын
Mam if possible similar one for hypernatremia too
@pediatrictakesbydr.pavitra98134 жыл бұрын
Will try and do doctor
@srinadhpragada61814 жыл бұрын
Thank you mam for a detailed explaination!
@pediatrictakesbydr.pavitra98134 жыл бұрын
My pleasure 😊.Keep watching
@pritikulkarni35505 ай бұрын
Very nice and crisp. But a doubt..maintainance sodium calculation 3 meq/100 ml..but we use isotonic fluid for correction I e. 154 / L?? Pl guide.
@mallikarjunakubakaddi88153 жыл бұрын
Very interesting and informative mam 👌👏👏
@DrAnbu4 жыл бұрын
Thank you mam.. Happy to learn 😊
@pediatrictakesbydr.pavitra98134 жыл бұрын
Welcome 😊.Keep watching
@snigdhaverma80093 жыл бұрын
Beautifully explained ....🙏 Ma'am if sodium is as low as 110 as in the last example... can v opt it to be corrected over 72 hrs also....?
@pediatrictakesbydr.pavitra98133 жыл бұрын
Yes doctor. That would be ideal
@hadelalsubaie52 жыл бұрын
why not using 0.9normal saline ??
@srinivasgowda30174 жыл бұрын
wonderful presentation mam,really good
@pediatrictakesbydr.pavitra98134 жыл бұрын
Thank you sir
@srinivasgowda30174 жыл бұрын
Kindly post subject regarding the Genetics and three generation pedigree chart, its give more information for us, in her excellent way of teaching skill. Thank you, i hope, you will be post shortly madam.
@beenathomas31113 жыл бұрын
Concept of doing the dehydration correction half in first 8 hours and rest over next 16 hours.your take on that?
@prakasam66414 жыл бұрын
Excellent class mam..But pls teach us what to do if sodium falls below 10 meq/l per day
@pediatrictakesbydr.pavitra98134 жыл бұрын
You will anyways be monitoring every 4-6 hours and adjustment on rate of correction can be done. If child become symptomatic-then 3% saline
@pediatrictakesbydr.pavitra98134 жыл бұрын
Please listen to the hyponatremia approach lecture too. I've mentioned about this there
@israelmary89154 жыл бұрын
Thank u for nice presentation mam
@pediatrictakesbydr.pavitra98134 жыл бұрын
You are most welcome
@samspediatricks4 жыл бұрын
Superb class mam
@pediatrictakesbydr.pavitra98134 жыл бұрын
Thank you doctor
@divakarramasubbu66504 жыл бұрын
Very nice
@pediatrictakesbydr.pavitra98134 жыл бұрын
Thank you doctor
@familymoments10402 жыл бұрын
Loved it
@animeshdebbarma38523 жыл бұрын
Thank U mam.... 👍😁
@pediatrictakesbydr.pavitra98133 жыл бұрын
Most welcome 😊
@anaselhaj32163 жыл бұрын
Thanks
@MedicalBroadcast3 жыл бұрын
Well taught
@oleohh14 жыл бұрын
Useful mam
@manojraman26323 жыл бұрын
Maam to choose fluid Harriet lane says total sodium required divided by solute fluid defecit in litre. It doesn't add maintenance fluid into calculation. Which one to follow maam
@pediatrictakesbydr.pavitra98133 жыл бұрын
You'll have to give maintainence too. Replacement is for losses that happened in past
@manojraman26323 жыл бұрын
@@pediatrictakesbydr.pavitra9813 maam maintenance has to be given along with deficit . But my question is not that maam. For type of fluid calculation the Harriet lane is not including maintenance fluid
@pediatrictakesbydr.pavitra98133 жыл бұрын
Better to have it separately. Maintainence fluid is going to be constant. Your replacement fluid may be titrated up or down depending on your electrolyte values. Putting them both together is not impossible- but adjusting rate/ composition will be difficult if you need close monitoring
@gayathrigandhi29423 жыл бұрын
Do we need to give 3% NS bolus if serum sodium is very low but without any neurological symptoms?
@venkybly3 жыл бұрын
Tq
@kaligotlakrishnakumari13414 жыл бұрын
Mam, please take classes on social pediatrics questions
@pediatrictakesbydr.pavitra98134 жыл бұрын
Will definitely do doctor.Thank you and keep watching
@sandipsonsale52834 жыл бұрын
Excellent plz share class on hypernatrmic dehydration if possible tq Formula of 3% Nacl for bolus of 3 to 5 ml /kg exceed little bit to 6 ml As mentioned 15×5×0.6= 45 so 90 ml 3% Nacl needed to increase 45 mEq of Na Which came 6 ml/kg 👍