Titlebook: Hypertension, Fluid-Electrolytes, and Tubulopathies in Pediatric Nephrology; Proceedings of Pedia José Strauss (Professor of Pediatrics; Di

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澄清

Hyponatremia — An Approach to the Affected Childophic problems. Moreover, appropriate therapy which in certain cases may be life saving, depends initially upon the proper diagnosis being made. Nine combinations define the relationship between serum sodium concentration and total body water, one normal and eight abnormal (Figure 1).

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Confidential

Fluid Balance in the NewbornThe balance of fluids and electrolytes is easily disturbed in the neonate because of the anatomical and functional peculiarities of the newborn (1–2). Some of these disturbances may lead to serious complications such as intracranial hemorrhage, persistent ductus arteriosus or chronic lung disease.

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Highlights: Evaluation of Selected Fluid and Electrolyte DisordersA number of fluid and electrolyte disorders are frequently encountered in clinical practice. The focus here is on diarrheal dehydration, metabolic acidosis, late metabolic acidosis of premature infants, metabolic alkalosis, acute oliguria, and Syndrome of Inappropriate ADH Secretion (SIADH).

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The Hypertension Problem in ChildrenPrior to 1970 the problem of hypertension in children revolved around renal disease, central nervous system disease, coarctation of the aorta, and rare endocrine or collagen disease.

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The Evaluation of the Child with HypertensionThe evaluation of the child with hypertension has two goals. One is to determine the effect of hypertension on the body. This is accomplished by examination of the ocular fundi and heart, chest x–ray and electrocardiogram. The second, and more important, is to determine the cause of the hypertension.

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Highlights: Initial Alterations of Renal Function in Children with Acute Streptococcal GlomerulonephHypervolemia is the most common pathophysiologic derangement observed initially in acute post-streptococcal glomerulonephritis(AGN. The major risk of hypervolemia is hypertension, frequently complicated with acute pulmonary edema or hypertensive encephalopathy. Reports in the literature show a 0.5 to 6% mortality due to these complications.

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978-94-009-7543-9Martinus Nijhoff Publisher, The Hague 1982