4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question Category : Hyponatremia
While correcting hyponatremia the multiplication factor used to calculate sodium deficit? Some books mention it as .3, while some as .6 which one is correct. What is dose of hepatitis-b vaccine in immunocompromised persons?
Question Category : Hyponatremia
Sir, i am giving a personal experience of having a case of hyponatremia induced by a phosphate enema. 7 year old girl was given 75 ml of phosphate enema for evacuating the hard impacted stools. Within 5 minutes she started to vomit and became very lethargic. Sodium was 122, and pottassium was 2.9. This was managed with 500ml of normal saline given over 1hr, ORS by mouth. After the infusion sodium was 132 and K+ 3.4 and she was symptomatically much better. My queries are 1.Is this complication following phosphate enema, common? 2.Was the dose used too high ( 75 ml ,weight was 25.7 kg) 3.Was the management right? Should i have done anything more? 4.What is the most safe and effective enema in children. please give your valuable suggestions thanking you, yours sincerely Dr.manoj chandran.
 
 
 
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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
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