RESUMEN
The standard practice in paediatric departments in Danish hospitals is to prescribe hypotonic maintenance fluids (sodium content 20-40 mmol/l) for children, who are fasting or have a reduced enteral intake. The past decades have provided strong evidence, that this can lead to hypo-natraemia and subsequent neurologic damage or death. We recommend, that prefabricated isotonic solutions containing 140-154 mmol/l of sodium and 5% glucose, with or without an additional 20 mmol/l of potassium, are available as standard maintenance fluid for children in all Danish hospitals.
Asunto(s)
Fluidoterapia , Hiponatremia , Soluciones Hipotónicas , Niño , Humanos , Hiponatremia/terapia , Soluciones Hipotónicas/uso terapéutico , Soluciones Isotónicas , SodioRESUMEN
Cough in children is a common problem of various aetiologies. In the presence of specific findings diagnostics may be easy, but often the symptoms are few and unclear. Management involves specific diagnosing and it should be considered if the cough is acute, prolonged or chronic. The diagnosis depends on the quality of the cough evaluated as dry cough or wet, productive cough. Trials of treatment are often used to make a diagnosis, and any trial should be time-limited because natural resolution of cough is so common. Finally, giving thorough information to parents is crucial.