کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5653972 | 1589102 | 2017 | 4 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Assessment of Volume Status and Appropriate Fluid Replenishment in the Setting of Nephrotic Syndrome
ترجمه فارسی عنوان
بررسی وضعیت دوره و تکمیل مایع مناسب در تنظیم سندرم نفروتیک
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
طب اورژانس
چکیده انگلیسی
No guidelines helping general physicians in the management of children presenting with both NS and AGE are available in the literature. However, it is common for these patients to seek the first line of treatment at emergency departments. In these patients, restoring the liquid homeostasis is a challenge, but some key points can help the physicians with first-line management: 1) carefully evaluate the signs of hypovolemia (edematous state can be misleading); 2) bear in mind that-in hypovolemic, severely hypoalbuminemic (serum albumin levels < 2 g/dL) NS children-initial fluid administration should be followed by a 20% albumin infusion if oligoanuria persists; intravenous 4.5% albumin may be a valid alternative as a first-line therapy instead of crystalloid and 20% albumin; and 3) pay attention when using furosemide; it should only be administered after albumin infusion or after hypovolemia correction.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 52, Issue 4, April 2017, Pages e149-e152
Journal: The Journal of Emergency Medicine - Volume 52, Issue 4, April 2017, Pages e149-e152
نویسندگان
Pierluigi MD, Stefano MD, Andrea MD, Rosaria MD, Vincenzo MD, Laura Perrone, Angela MD, Giovanni Montini,