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Algorithm for the Treatment of Severe Hypoglycemia

Step #1:  IV dextrose bolus

Step #2:  food (if
Step #1: IV dextrose ... bolus Step #2: ... possible) Step #3: dextrose
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
increasing Na ~5mEq 2. ... - Tx with 5% Dextrose
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
minutes, lasts -2 ... Give 25 g dextrose ... minutes, lasts ~2
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
stick (give IV dextrose ... o Lorazepam 2 ... or • Propofol 2 ... mg/kg IV at 2-5
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
on Sabouraud’s dextrose ... an additional 2
Causes of Hyperkalemia
l. Pseudohyperkalemia
  A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
  B.
radiocontrast, hypertonic dextrose ... inhibitors 2. ... failure 2. ... uropathy 2. ... cyclooxygenase 2
Pediatric Dextrose Administration in Hypoglycemia 

#Dextrose #Hypoglycemia #Peds #Pediatrics #Formula #Pharmacology
Pediatric Dextrose ... Hypoglycemia #Dextrose
IDSA Recommended Dosages of Antimicrobial Agents Administered by the Intraventricular Route
Amikacin - 5–50 mg
Amphotericin B -
0.01–0.5 mg in 2 ... mL of 5% dextrose ... Daptomycin - 2– ... dalfopristin - 2– ... vancomycin and 2
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
1.5 (HCO3)+8 (+-2) ... 25 kg*m2 (Ht^2) ... *23 (men) (Ht^2) ... (women) Wt/Ht^2 ... DsW = dextrose 5%
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
• Insulin + dextrose