Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-Pediatric Endocrine Issues

Video Transcription

Video Summary

Dr. Jerry Zimmerman discussed pediatric endocrine issues commonly seen in the ICU. He emphasized diabetic ketoacidosis (DKA), the most frequent endocrine emergency in this setting, caused by insulin deficiency during stress, leading to hyperglycemia and ketosis. Treatment focuses on gradual rehydration, insulin administration, and electrolyte replacement. Zimmerman contrasted DKA with hyperglycemic hyperosmolar syndrome, which requires slow rehydration due to severe dehydration. He also covered adrenal insufficiency, stressing the importance of monitoring patients on steroids for stress dosing needs. Lastly, he addressed other endocrine disorders like cerebral salt wasting, diabetes insipidus, SIADH, pheochromocytoma, and thyroid dysfunctions, providing insights into their management in critically ill pediatric patients.

Keywords

pediatric endocrine issues

diabetic ketoacidosis

adrenal insufficiency

diabetes insipidus

thyroid dysfunction

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