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Gonzalo Ares

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    Spain

Everything posted by Gonzalo Ares

  1. I would like to know your approach to a newborn with hypernatremia and dehydration. How do you calculate fluid therapy? For example: term newborn, birth weight 3 kg. 7 days of life. In the emergency department the baby weight is 2,600 kg. Na 170 mEq/l. In my hospital we correct taking into account water deficit (0.7* Weight in grams * [ Na/140 − 1]) We correct water deficit in 72 hours. So the fluids would be: Glucose 10% 437,7 ml ClK 1M 5,4 ml ClNa 20% 2,4 ml Calcium gluconate 10% 13,5 ml Drip rate 18,2 ml/h Is there a limit of maximal fluids in 24 hours?
  2. Thank you for your responses. Now I will consider if we should change...
  3. In the nursery, how many times do you have to exam the well newborn? We exam the baby twice: in first 24 hours and before discharge. I have been told that only one exam is needed. Any reference?

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