A few questions for the list:
1. When hydrating otherwise healthy children with dehydration, in which
cases to you obtain serum electrolytes?
2. Do you get electrolytes in all kids or just when the history or physical
exam make you suspicious for a clinically relevant abnormality?
3. If child who has a low bicarb (rest of lytes are normal) looks well after
rehydration and has proven they can tolerate oral fluids , will you admit
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
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