Fluid & Electrolyte Management

Question to the group: How do you approach the management of chylothorax in your unit, particularly with regard to fluid replacement, nutritional support, and the use of albumin? It would be helpful to learn about your protocols and hear your experiences in managing similar cases. Your contributions could really help foster a more evidence-based discussion on best practices! For example, do you use albumin to increase oncotic pressure, aiming to draw fluid out of the extracellular compartment? Or do you administer albumin in cases of hypoalbuminaemia to support overall nutritional status? Alternatively, do you believe that albumin has little to no role in chylot…

Dear colleagues, In our unit, we have some disagreements on what to consider hyperkalemia in newborn and at what threshold we should do something. In my opinion (based on literature review and units protocols available), I consider an elevated potassium when it is above 5,9 – and we usually would see some repercussion when it is above 6.5. I have a lot to discuss about it, but I would like to start with this: what do you consider hyperkalemia? Best regards, Greice Batista

information, uses and experiences in their units

Hi all, I am working on setting up a new NICU in a resource limited setting - we are looking for references for making customised TPN bags for our preterm - as no standardised bags are available here. Any good resources on this - other than the ESPGHAN enteral feeding guide?

Hi, Got into a discussion with a neonatologist now primarily working with clinical pharmacology, so I wanted an international perspective. In those cases when beta-stimulants are indicated for hyperkalemia (not first line treatment), would you always use inhalations, or when would you choose IV? Any experiences with other beta-stimulants besides albuterol?

Dear Neonatology colleagues, We are conducting a study to better understand knowledge and variations in clinical practice of fluid management in neonates. This survey is being conducted by neonatologists and pediatric nephrologists from the Neonatal Kidney Collaborative. The goal of this project is to summarize practice patterns, identify potential best practices and provide further opportunities for education. https://redcap.link/nkcfluid We anticipate this survey will take approximately 10 minutes. To thank you for your participation, upon completion of the survey you will have the option to enter a raffle for Starbucks gift cards or f…

hello to the group, we need opinions on the hydro-electrolyte management in children under 28 weeks. we have problems to regulate the weight loss and not to exceed in volume. What volume do you start with? How much weight loss do they tolerate? How much sodium do they provide in this first week? How do you manage patients with high diuretic rhythms that give basal needs greater than 200 ml/kg ? do you replace it ? When a patient loses more than 15% of weight, what strategies do you use to regain it? thank you very much

hi.i have a neonate 30weeks,na=104 ,and siezure whats guideline in your hospital?

Do you use Dialysis en extrem preterm less than 500 gr.? In context of anuria (but not after cardiac surgery). Is There an age limit, or a weight limit?.

In extreme premature babies , we are facing problem of hypernatremia in first days of life because of arterial line flushes even we use sodium 0.45% Sent from my Redmi Note 9 Pro using Tapatalk