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| SPECIALIST ANSWERS
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Question |
I was managing a child with IEM in peads ICU.he was having persistent metabolic acidosis and i had to start him on NaHCO3 infusion 4.2%.then slowlyincreased 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 di dnot bother about the high sodium.whatr else could have been done.can i start frusemide infusion for this patient to reduce sodium
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Answer |
With such severe acidosis that is not getting corrected with bicarb drip, peritoneal dialysis would be recommended.
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