What is the role of fluid resuscitation in the treatment of acute pediatric adrenal insufficiency (Addison disease)?

Updated: Dec 07, 2018
  • Author: Kimberly Tafuri, DO; Chief Editor: Sasigarn A Bowden, MD  more...
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Answer

In a hypotensive patient, rapidly administer isotonic sodium chloride solution (eg, 450 mL/m2 or 20 mL/kg bolus) over the first hour. If the patient remains hypotensive, a second 20-mL/kg bolus of isotonic sodium chloride solution may be given. Follow this with the typical continuous infusion of 3200 mL/m2/d or 200 mL per 100 calories of estimated energy expenditure at rest to restore intravascular volume.


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