Maitland et al listed measures for correcting abnormal glucose and elelctrolyte concentrations in pediatric patients with severe malaria. The authors are from the Kenya Medical Research Institute, Wellcome Trust, St. Mary's Hospital (London), University of Oxford and University of Sussex.
Parameters measured:
(1) glucose
(2) potassium
(3) total calcium
(4) magnesium
(5) phosphate
Parameter
Correct If
glucose
< 3.0 mmol/L (54 mg/dL)
potassium
< 3.5 mmol/L (3.5 mEq/L)
total calcium
< 2.0 mmol/L (8.0 mg/dL)
magnesium
< 0.75 mmol/L (1.82 mg/dL)
phosphate
< 0.7 mmol/L (2.17 mg/dL)
Parameter
Parenteral Correction Protocol
glucose
10% dextrose, 5 mL * (body wgt in kg)
potassium
(0.25 mmol * (body wgt in kg)) over 30 minutes
total calcium
10% calcium gluconate, (0.3 mL * (body wgt in kg)) over 30 minutes
magnesium
50% magnesium sulfate, (0.2 mL * (body wgt in kg)) over 30 minutes
phosphate
sodium phosphate, (0.2 mmol * (body wgt in kg)) over 30 minutes
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