The AAP has quite a bit to say about this topic. See
"Practice parameter: the managment of acute gastroenteritis in young
children" Pediatrics, 1996, 97:424-436.
Greg Conners, MD
> From: Doobinin, Kathy[SMTP:[log in to unmask]]
> Reply To: Doobinin, Kathy
> Sent: Wednesday, March 04, 1998 2:29 PM
> To: Multiple recipients of list PED-EM-L
> Subject: Electrolytes in dehydration
> A few questions for the list:
> 1. When hydrating otherwise healthy children with dehydration, in
> cases to you obtain serum electrolytes?
> 2. Do you get electrolytes in all kids or just when the history or
> exam make you suspicious for a clinically relevant abnormality?
> 3. If child who has a low bicarb (rest of lytes are normal) looks well
> rehydration and has proven they can tolerate oral fluids , will you
> them based on a low bicarb. If so, how low?
> Thank you for your help.
> Kathy Doobinin, M.D.
> Pediatric Emergency Medicine Fellow
> Children's Hospital of The King's Daughters
> Norfolk, Virginia
> e-mail: [log in to unmask]
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