Approach to management of hypernatremic dehydration. Dr Sridhar Kalyanasundaram

Following the video on case based discussion of hypernatremia in neonates ( • Hypernatremia in neona... ), in this video, I discuss in detail the approach to management/correction of hypernatremic dehydration, including calculating fluid deficit, type of fluid to use, how to use partial oral and partial IV correction and how to choose the tonicity of the fluid used. It is a very important topic, please share.

[@SridharKs]

Useful playlists for nicu nurses, trainee pediatricians and neonatal trainees NRP-kzbin.info/aero/PLKe2uxLSi6cErI1Y7ZRbLub-1Qq8AT4Bm Oxygen in Neonatology kzbin.info/aero/PLKe2uxLSi6cEDL9Zfc57-YJjlVkqJXmQp Neonatal ventilation-kzbin.info/aero/PLKe2uxLSi6cEk8ExzMpF-5ePzmkteTNjk Neonatal jaundice-kzbin.info/aero/PLKe2uxLSi6cFT5aOxCrU9ENBRXlkUwWzq Breastfeeding-kzbin.info/aero/PLKe2uxLSi6cFdnNrlnJQ8T5P-qaP8erc5 And many short videos to clarify queries of new parents-could help if you cover postnatal ward kzbin.info/aero/PLKe2uxLSi6cEAuXao6M9lsXUmbyhbpL1t

[@paediatriciandoctorzahidhu8360]

Sir u mean to say... Feed plus fluid should be 100ml/kg/day irrespective of Na level and age in moderate to sever ... ?

[@SridharKs]

@@paediatriciandoctorzahidhu8360 no, it depends on your free water calculation and subsequent titration based on rate of drop. It’s safer to start at a lower level as in this scenario and adjust according to Na drop

[@pankajpatel72]

Sir, I have watched all of your videos. They are a quick go for an update for neonatologists too. Moreover, presentations are by eminent personalities of particular fields. It's a great option to learn on your channel. you might be interested to read Mx of hypernatremia in the last edition of nelson. Very simplified, rather over simplified. Please post your view. Regards, Pankaj

[@SridharKs]

Sure, will look it up. Thank you for your kind words

[@manjum4203]

Good work sir..please do upload video on immunization practices..

[@SridharKs]

Thank you, will do

[@ememescr]

thanks you sir, excellent conference

[@SridharKs]

Thank you, please share

[@itzelbarreto6030]

hello I have a doubt, in the calculation exersice, you put 2400X 0.14 , this last. number where is from ?--

[@SridharKs]

Hi, 3 kg or 3000 g is weight, body water is 0.8 times 3 (2400). The 0.14 is observed-desired sodium/desired Na, ie 160-140/140 in this example, ie 0.14

[@الاءابراهيم-ب8ك]

In the newzland guidline they mention 13%deficit mean 130 x3kg = 390 gram Plus maintenance 100ml/kg =300 ml 690 ml /24 hr that mean 28ml/hr That's correct ? It's not too much fluid

[@SridharKs]

The duration of correction is an important factor, 48 to even 72 hours in severe cases

[@SridharKs]

I will review this as well (New Zealand guideline)

[@الاءابراهيم-ب8ك]

@@SridharKs thanks sir

[@SridharKs]

@@الاءابراهيم-ب8ك thank you. Please share with your colleagues and team

[@الاءابراهيم-ب8ك]

@@SridharKs sure I did

[@m.gryphius8851]

Sridharks do you have the Reference of the review from the beginning?

[@SridharKs]

I need to check, don’t remember as it was made 3 years ago