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CHAPTER 100 ■ RENAL AND ELECTROLYTE
EMERGENCIES
RON L. KAPLAN, REBEKAH BURNS
GOALS OF EMERGENCY CARE
Fluid imbalances, electrolyte abnormalities, and renal insufficiency are
associated with a wide variety of conditions encountered in the pediatric
emergency department (ED). Severe derangements of electrolytes and renal
function can lead to significant morbidity and mortality. Prompt recognition
and appropriate management is necessary to ensure adequate circulating
volume and prevent serious sequelae related to electrolyte and acid–base
disturbances. Overly rapid correction of some electrolyte abnormalities may
result in devastating consequences, so care must be taken in the
management of these conditions. Patients with renal insufficiency may
present with overall fluid overload but intravascular depletion, making fluid
resuscitation challenging.
KEY POINTS