Approach to management of hypernatremic dehydration. Dr Sridhar Kalyanasundaram

Following the video on case based discussion of hypernatremia in neonates ( • Hypernatremia in neona... ), in this video, I discuss in detail the approach to management/correction of hypernatremic dehydration, including calculating fluid deficit, type of fluid to use, how to use partial oral and partial IV correction and how to choose the tonicity of the fluid used. It is a very important topic, please share.

[@SridharKs]

Useful playlists for nicu nurses, trainee pediatricians and neonatal trainees
NRP-czcams.com/play/PLKe2uxLSi6cErI1Y7ZRbLub-1Qq8AT4Bm.html
Oxygen in Neonatology czcams.com/play/PLKe2uxLSi6cEDL9Zfc57-YJjlVkqJXmQp.html
Neonatal ventilation-czcams.com/play/PLKe2uxLSi6cEk8ExzMpF-5ePzmkteTNjk.html
Neonatal jaundice-czcams.com/play/PLKe2uxLSi6cFT5aOxCrU9ENBRXlkUwWzq.html
Breastfeeding-czcams.com/play/PLKe2uxLSi6cFdnNrlnJQ8T5P-qaP8erc5.html
And many short videos to clarify queries of new parents-could help if you cover postnatal ward czcams.com/play/PLKe2uxLSi6cEAuXao6M9lsXUmbyhbpL1t.html

[@pankajpatel72]

Sir, I have watched all of your videos. They are a quick go for an update for neonatologists too. Moreover, presentations are by eminent personalities of particular fields. It's a great option to learn on your channel. you might be interested to read Mx of hypernatremia in the last edition of nelson. Very simplified, rather over simplified. Please post your view. Regards, Pankaj

[@SridharKs]

Sure, will look it up. Thank you for your kind words

[@ememescr]

thanks you sir, excellent conference

[@SridharKs]

Thank you, please share

[@manjum4203]

Good work sir..please do upload video on immunization practices..

[@SridharKs]

Thank you, will do

[@m.gryphius8851]

Sridharks do you have the Reference of the review from the beginning?

[@SridharKs]

I need to check, don’t remember as it was
made 3 years ago

[@itzelbarreto6030]

hello I have a doubt, in the calculation exersice, you put 2400X 0.14 , this last. number where is from ?--

[@SridharKs]

Hi, 3 kg or 3000 g is weight, body water is 0.8 times 3 (2400). The 0.14 is observed-desired sodium/desired Na, ie 160-140/140 in this example, ie 0.14

[@user-tl5db6ro5j]

In the newzland guidline they mention
13%deficit mean 130 x3kg = 390 gram
Plus maintenance 100ml/kg =300 ml
690 ml /24 hr that mean 28ml/hr
That's correct ? It's not too much fluid

[@SridharKs]

The duration of correction is an important factor, 48 to even 72 hours in severe cases

[@SridharKs]

I will review this as well (New Zealand guideline)

[@user-tl5db6ro5j]

@@SridharKs thanks sir

[@SridharKs]

@@user-tl5db6ro5j thank you. Please share with your colleagues and team

[@user-tl5db6ro5j]

@@SridharKs sure I did