GU

Question 1

normal U/O in ped

Answer 1

1-2ml/kg/hr

Question 2

Renal replacement therapy

Answer 2

volume overload with htn
persistant hyper K
severe met acid
neuro symptoms
ca:PO4 imbalance
uremia>10-15
inability to provide nutrition due to fluid restriction
toxins

Question 3

hemolytic uremic syndrome

Answer 3

microaigophatic hemolytic anemia + thrombocytopenia + AKi

infection (commonly E.coli) followed by gastritis, oliguria/aneuria, maybe CNS involvement

complications: hyper K, volume overload, heart failure, anemia, pancreatitis,

Tx: Support (fluids, htn, plasmapheresis), dialysis

Question 4

hypernatremia

Answer 4

excessive sodium, water deficit, water and sodium deficits

symptoms: mild, severe- ICH, demyelination, neuro injury

correct iver 24-48hrs (<10-12mEq/L per day)

Question 5

hyponatremia

Answer 5

normal, low (SIADH, hypothyroid, water intox) high osmolarity (mannitol, hyperglycaemia, CHF, cirrhosis)

seizure management: 3ml/kg 3% HTS push until resolution

Question 6

normal K levels

Answer 6

prem- 4-6.5
new- 3.7-5.9
inf-