Abstract
A physician caring for children is faced with the challenge of evaluating and treating fluid and electrolyte disturbances in patients that range from a 900-g premature infant with dehydration from evaporative water loss secondary to phototherapy to a 100-kg high-school football tackle with dehydration sustained during practice in the hot summer months. The mechanism of dehydration is similar; the goal of therapy is similar; however, the quantities of water and electrolytes necessary to correct the imbalance are dramatically different, even when expressed per unit of body weight.
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References
Spitzer A: The developing kidney and the process of growth. In: DW Seidin, G Giebisch, eds, The Kidney: Physiology and Pathophysiology. Raven Press, New York, pp 1979–2015, 1985.
Forbes GB: Human Body Composition, Growth, Aging, Nutrition and Activity. Springer-Verlag, New York, 1987.
Spitzer A: The role of the kidney in sodium homeostasis during development. Kidney Int 21:539–545, 1982.
Winters RW: The Body Fluids in Pediatrics. Little, Brown, Boston, 1973.
Schwartz GJ, Brion LP, Spitzer A: The use of plasma Creatinine concentration for estimating glomerular filtration rate in infants, children and adolescents. Pediatr Clin No Am 34(3):571–590, 1987.
Guignard JP, John EG: Renal function in the tiny premature infant. Clin Perinatol 13:377–397, 1986.
Edelmann CM, et al.: Reabsorption and excretion of bicarbonate in infants and adults. J Clin Invest 46:1309–1315, 1967.
Goldsmith DI: Clinical and laboratory evaluation of renal function, In: CM Edelmann, ed, Pediatric Kidney Disease. Little, Brown, Boston, pp 213–223, 1978.
Finberg L: Water and electrolyte physiology. In: AM Rudolph, JIE Hoffman, eds, Pediatrics. Appleton and Lange, Norwalk, CT, pp 194–201, 1987.
Nash MA: Water and solute homeostasis. In: CM Edelmann, ed, Pediatric Kidney Disease. Little, Brown, Boston, pp 290–305, 1978.
Narins RG, Jones ER, Strom MC, Rudnick MR, Basti CP: Diagnostic strategies in disorders of fluid, electrolyte and acid-base homeostasis. Am J Med 72:496–519, 1982.
Robson AM: The pathophysiology of body fluids. In: RE Behrman, VC Vaughan, eds, Nelson Textbook of Pediatrics. WB Saunders, Philadelphia, pp 172–207, 1987.
Gruskin AB, Baluarte HJ, Prebis JW, Polinsky MS, Morgenstern BZ, Perlman SA: Serum sodium abnormalities in children. Pediatr Clin No Am 29:907–932, 1982.
Finch MH, Younoszai KM: Oral rehydration therapy. South Med J 80:609–613, 1987.
Listernick R, Zieserl E, Davis AT; Outpatient oral rehydration in the United States. Am J Dis Child 140:211–215, 1986.
Tamer AM, Friedman LB, Maxwell SRW, Cynamon HA, Perez HN, Cleveland WW: Oral rehydration of infants in a large urban U.S. medical center. J Pediatr 107:14–19, 1985.
Pizarro D, Castillo B, Posada G, Lizano C, Mata L: Efficacy comparison of oral rehydration solutions containing either 90 or 75 millimoles of sodium per liter. Pediatrics 79:190–195, 1987.
Linshaw ME: Potassium homeostasis and hypokalemia. Pediatr Clin No Am 34(3):649–682, 1987.
Narins RG, Jones ER, Strom MC, Rudnick MR, Basti CP: Diagnostic strategies in disorders of fluid, electrolyte and acid-base homeostasis. Am J Med 72:503–508, 1982.
Kaplan NM: Our appropriate concern about hypokalemia. Am J Med 77:1–4, 1984.
Bia MJ, DeFronzo RA: Extrarenal potassium homeostasis. Am J Physiol 241:F257–F262, 1981.
Carlsson E, Fellenius E, Lundborg P, Svensson L: Beta-adrenoceptor blockers, plasma potassium and exercise. Lancet 2:424–426, 1978.
Root AW: Calcium, phosphate and magnesium disorders In: AR Colon, M Ziai, eds, Pediatric Pathophysiology. Little, Brown, Boston, pp 97–125, 1985.
Kruse K: Endocrine control and disturbances of calcium and phosphate metabolism in children. Eur J Pediatr 146:346–353, 1987.
Zaloga GP, Chernow B: Hypocalcemia in critical illness. JAMA 256:1924–1929, 1987.
Singer FR, Bethune JE, Massry SG: Hypercalcemia and hypocalcemia. Clin Nephrol 7:154–162, 1977.
Campbell D, Fleischman AR: Perinatal calcium and phosphorous metabolism. Rev Perinat Med 5:95–150, 1986.
Tsang R, Noginchi A, Steichern JJ: Pediatric parathyroid disorders. Pediatr Clin No Am 26:223–249, 1979.
Gauthier B, Edelmann C, Barnett H: Nephrology and Urology for the Pediatrician. Little, Brown, Boston, pp 49–61, 1982.
Donckerwolcke RA: Diagnosis and treatment of renal tubular disorders in children. Pediatr Clin No Am 29:895–906, 1982.
Lund CL, Brower WC: The estimation of areas of burn. Surg Gynecol Obstet 79:352–359, 1944.
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© 1991 Kluwer Academic Publishers
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Spitzer, A., Neiberger, R. (1991). Fluid and Electrolyte Abnormalities in Children. In: Suki, W.N., Massry, S.G. (eds) Therapy of Renal Diseases and Related Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0689-4_15
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DOI: https://doi.org/10.1007/978-1-4613-0689-4_15
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