4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
I was managing a child with IEM in peads ICU.he was having persistent metabolic acidosis and i had to start put him on NaHCO3 infusion 4.2%.then slowly increased the infusion form 1cc/hr to 3 cc/hr.but the problem started when the NA serum level increased to 180mEqq/l.so i had no choice to reduce the infusion but the met acidosis rebound adn the bp crashed.so i started back the met bicarb and did not bother about the high sodium.what else could have been done.can i start frusemide infusion for this patient to reduce sodium.
Answer
With such severe acidosis that is not getting corrected with bicarb drip, peritoneal dialysis would be recommended.
 
 
 
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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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