AI Snips
Chapters
Transcript
Episode notes
Sodium in Maintenance Fluids
- Consider hypotonic fluids like half-normal saline for maintenance to avoid hypernatremia.
- However, be aware of potential hyponatremia risks, especially in patients with elevated ADH levels.
Maintenance Fluid Guidelines
- American Academy of Pediatrics guidelines recommend normal saline for patients aged one month to 18 years for ongoing maintenance therapy to avoid hyponatremia.
- Individualized approaches based on patient risk for dysnatremia are also valid, with follow-up and adjustments based on labs.
ADH and Hyponatremia
- ADH, a fight-or-flight response, increases water reabsorption.
- In critically ill patients or those with certain conditions, ADH can contribute to hyponatremia, especially with incorrect fluid choices.