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Chapter-18 Intensive Care

BOOK TITLE: Partha’s Management Algorithms in Pediatric and Adolescent Practice

Author
1. Thangavelu S
2. Bhattacharya Piyali
3. CR Vignesh Kumaran
ISBN
9789352703838
DOI
10.5005/jp/books/14142_19
Edition
1/e
Publishing Year
2018
Pages
16
Author Affiliations
1. Institute of Child Health and Hospital for Children, Madras Medical College, Chennai, Mehta Multispeciality Hospitals India Pvt Ltd, Chennai, Tamil Nadu, India, Pediatric Intensive Care Unit, Institute of Child Health, Madras Medical College; Mehta Multispeciality Hospital, Chennai, Tamil Nadu, India, Mehta Multispeciality Hospital, Chennai, Tamil Nadu, India, Mehta's Multispeciality Hospital, Chennai, Tamil Nadu, India, Mehta Multispecialty Hospital, Mehta Children Hospital, Chennai, Tamil Nadu, India, Dr Mehta’s Children’s Hospital, Chennai, Tamil Nadu, Dr Mehta’s Children’s Hospital, Chennai, Tamil Nadu, India, Mehta Children’s Hospital, Chennai, Tamil Nadu, India, King Fahad Medical College, Riyadh, Kingdom of Saudi Arabia, Madras Medical College and Institute of Child Health and Hospital for Children, Egmore, Chennai, Mehta Children’s Hospitals, Chennai, Tamil Nadu, India
2. General Hospital, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, Uttar Pradesh, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, Sanjay Gandhi Postgraduate, Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, Sanjay Gandhi Postgraduate Institute of Medical, Sciences, Lucknow, Uttar Pradesh, India, General Hospital, Lucknow, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, Uttar Pradesh, India, General Hospital, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
3. Mehta Multispecialty Hospital, Chennai, Tamil Nadu, India
Chapter keywords
Intensive care, substance abuse disorder, adolescent pregnancy, sodium disturbance, electrolyte, hyponatremia, hypernatremia, antidiuretic hormone, ADH, club drug, opioids

Abstract

This chapter focuses on intensive care. This chapter is divided into three parts, which include assessment and treatment of children and adolescents with substance abuse disorders, intensive care in adolescent pregnancy, and approach to sodium disturbances. About 21% (243 million) of Indian population is in the adolescent age group. Though adolescence is usually a healthy period, they have specific needs and face challenges which vary with gender, life circumstances, and socioeconomic conditions. The last decade has witnessed a constant rise in teen pregnancies in India. The main reason is being child marriage and also the lack of proper sex education in schools which leads to teenagers having unprotected sex. The diagnosis or exclusion of pregnancy and its complications is critical during ED evaluation of many females of child-bearing age, but particularly among adolescent patients. Electrolytes estimation becomes a priority in critically ill children because of the reasons following as electrolyte disturbances present with nonspecific critical symptoms, they play a great role in survival or mortality, and they have to be biochemically estimated routinely.

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