Infantile Diarrhea

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Hypocalcemia and hypomagnesemia Normal value: Serum calcium is 9-11 9 11 mg/dl or 2.2-2.7 2.2 2.7 mmol/L. mmol/L. When the value is < 7 mg/dl (1.75 mmol/L) mmol/L) hypocalcemia is diagnosed. Serum magnesium: 2.0-3.0 2.0 3.0 mg/dl or 0.8-1.2 0.8 1.2 mmol/L. mmol/L. If the concentration is < 1.5mg/dl (0.6 mmol/L) mmol/L) hypomagnesemia is defined. Causes: poor intake. malabsorption. malabsorption excessive loss of Ca, Mg via diarrhea. prolonged diarrhea or active rickets.
Hypocalcemia and hypomagnesemia Prior to rehydration there may be no any hypocalcemic symptoms and sighs due to: ① hemoconcentration. hemoconcentration ② increased ionic calcium during acidosis. After rehydration and acidosis being corrected symptoms occur, because: ① hemodilution. hemodilution ② Ionic calcium decreased after acidosis is corrected
Page 1 and 2: Infantile Diarrhea SUN Mei Pediatri
Page 3 and 4: Major causes of death among childre
Page 5 and 6: 3. Predisposing age Peak incidence
Page 7 and 8: Predisposing factors 1. Immature di
Page 9 and 10: 3. Poor immune function (host defen
Page 11 and 12: 5. Formula feeding: Bottle-fed Bott
Page 13 and 14: Bacteria Etiology Escherichia coli
Page 15 and 16: Etiology Fungi: especially Candida
Page 17 and 18: Etiology Antibiotic-associated Anti
Page 19 and 20: Pathogenesis Each kind of diarrhea
Page 21 and 22: Ingested ETEC (ID=10 8 ) ↓ adhere
Page 23 and 24: Feeding fault (overfeeding, unsuita
Page 25 and 26: According to severity of diarrhea i
Page 27: Dehydration: Excessive Loss of Wate
Page 34 and 35: (go go on) mild moderate severe muc
Page 36 and 37: Table 2. The types of dehydration I
Page 38 and 39: Metabolic acidosis The more severe
Page 40 and 41: Clinical manifestations: lassitude,
Page 42 and 43: Prior to rehydration, rehydration,
Page 46 and 47: Hypocalcemia and hypomagnesemia Man
Page 48 and 49: Vomiting usually precedes diarrhea.
Page 50 and 51: 3. Invasive bacterial enteritis. a
Page 52 and 53: Differential diagnosis 1.Physiologi
Page 54 and 55: Differential diagnosis 3. Acute nec
Page 56 and 57: Dietary therapy Oral fluids may be
Page 58 and 59: Reasonable medicine administration
Page 60 and 61: Good care and symptomatic treatment
Page 62 and 63: Electrolyte solutions 0.9% Natri ch
Page 64 and 65: Mixed solution Table 3. Components
Page 66 and 67: ORS may be used with unlimited wate
Page 68 and 69: The therapy for the first day. When
Page 70 and 71: In summary the total volume of flui
Page 72 and 73: Infusing rates Phase Ⅰ: : rapid e
Page 74 and 75: Infusing rates Phase Ⅲ: For reple
Page 76 and 77: Replacement of potassium For mild h
Page 78 and 79: Supplement of Calcium and magnesium
Page 82:
CHECKPOINTS Predisposing factors fo
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Infantile Diarrhea

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