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Fluids and Electrolytes
Hypovolemia (Dehydration) Treatment in Children
Repletion Therapy, Hypovolemia (Dehydration) Treatment in Children
Step 2: Second Fluid Phase
Consideration 1
Varies w/ serum Na concentration
Hyponatremia — serum sodium less than 130 mEq/L
Symptomatic, Hyponatremia — serum sodium less than 130 mEq/L
Aggressive initial Tx for first 3-4h or until Sxs resolve
Parents
Symptomatic, Hyponatremia — serum sodium less than 130 mEq/L
Children
3% saline (513 meq/L) (approx 2 ml of 3% contains 1 meq Na)
Goal to raise Na by 5 mEq/L over first several hrs
Rate not to exceed 2 meq/L per h rise in Na