How rehydration in children with pneumonia with heart failure

In the rescue treatment of pneumonia, heart failure, while in strengthening measures such as medication and rehydration, that is, contradictory process, which requires careful rehydration strictly limited the amount of liquid should be chosen due to hypertonic solution-based, but also to limit the sodium supplement.

However, for children with pneumonia, fluid therapy, following pediatric theoretical requirements, general inflammation in children can be maintained through the mouth into the volume of liquid without rehydration, continued feeding of children, according to physiological need for intravenous fluids, but the total should not be excessive speed to be slower, the total infusion volume of infants and young children to 60-80ml/kg/d is appropriate, the general election 1 / 4 solution, the speed should be controlled in 5ml/kg / hours of the following, if the main purpose is to through the vein infusion of drugs, then a volume of no more than 20mL/kg/d, mainly with 10% glucose solution, such as pneumonia, accompanied by severe abdominal speech dehydration and metabolic acidosis, when, according to the principles of digestion of the rehydration treatment, but the total volume of fluid and electrolyte fluid should be compared with the same dehydration were reduced by about 1 / 4, infusion rate should be slower.

However, in clinical practice, in the emergency treatment of pneumonia, heart failure, while in strengthening measures such as medication and rehydration, that is, contradictory process, which requires careful rehydration strictly limited the amount of liquid should be chosen due to hypertonic solution mainly, but also to limit the sodium supplement This prevents induced heart failure, and so are not too much use, but in typical cases, in heart failure cases, the more severe heart failure, severe, the more contradictory, more can cause dehydration, not only the need to control the infusion, but also the need to strengthen and rely on rehydration rehydration to complete. Disu control through slow of heart failure at any time align the use and dosage of drugs requires not only the dose of accurate, reasonable and symptomatic, but also making reference to the principle of flexibility appropriate, specific dosage control.

As a result, children with pneumonia according to the syndrome, and sometimes not only to consider the rehydration is the key, we must also strengthen the lungs of anti-inflammatory and correct heart failure is more important, must be reasonable Kaneharu, but also prioritize, differential treatment, if any time in order to anti-inflammatory, while intensifying the dose can be increased liquid, is a continuation of the main anti-inflammatory, so can improve efficacy, early control of disease, followed by sub-sub-administration, respectively, can reduce the concentration of drug compatibility, in line with conventional medicine only, the actual children do not need the liquid, but then require special attention, due to the increase in the amount of liquid, it may increase the burden on the heart, and sometimes they had little impact because the infusion process, Disu is very slow , while they are under the control of cardiac drugs, rehydration though the amount is to increase a part of, then it is appropriate, this is the heart function in children with the need for further correction, but also carefully consider the role of time of cardiac drugs and its impact on how well the heart, if necessary, after 6-8 hours, and then repeat the dose once maintenance dose can be used to maintain.