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Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients.

What do you need to know from the 2018 AAP maintenance IV fluid guideline?\\xa0

How common is hyponatremia in hospitalized patients and why does it matter to your practice?\\xa0

What is SIADH and how does it contribute to hyponatremia in acutely ill children?\\xa0

How can we prevent hyponatremia in our hospitalized patients?\\xa0

What are the differences between hypotonic and isotonic fluids?\\xa0

What\\xa0are\\xa0balanced solutions and why might they be preferred as compared to saline in some clinical settings?\\xa0

All of this and more from the Department of Pediatrics and the Medical College of Georgia.\\xa0

Check out our website for detailed show-notes:\\xa0https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode.

Questions, comments, or feedback? Please email us at\\xa0mcgpediatricpodcast@augusta.edu\\xa0

Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below.

• Feld LG,Neuspiel\\xa0DR, Foster BA, et al. Clinical Practice Guideline: Maintenance\\xa0Intravenous Fluids in Children.\\u202fPediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083\\xa0
• Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in CriticallyIll Adults.\\xa0N\\xa0Engl\\xa0J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584\\xa0
• CuzzoB,\\xa0Padala\\xa0SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In:\\xa0StatPearls\\xa0[Internet]. Treasure Island (FL):\\xa0StatPearls\\xa0Publishing; 2020 Jan-.\\u202fAvailable from:\\xa0https://www.ncbi.nlm.nih.gov/books/NBK526069/\\xa0
• Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD\\u2020; Francis, Susan T. PhD\\u2020; Lobo, Dileep N. DM, FRCS, FACS*A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte\\xae 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24\\xa0doi: 10.1097/SLA.0b013e318256be72\\xa0
• Peti-Peterdi J, Harris RC. Maculadensa\\xa0sensing and signaling mechanisms of renin release.\\xa0J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759\\xa0
• Wilcox CS. Regulation of renal blood flow by plasma chloride.J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820\\xa0