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Nita Radhakrishnan Profile picture
Nita Radhakrishnan
@nr_pedhemonc
Passion: Childhood blood diseases & cancers. Enthusiastic: Primary Immune Deficiency. Belief: Affordable quality healthcare is a human right. Opinions personal
Dec 1, 2022 • 9 tweets • 3 min read
1-year-old girl with severe pallor and irritability. Points to remember in children who present with very low haemoglobin.
1/7. Child will be in CCF. It may be difficult to document. Do not start IV fluids unless absolutely needed. If starting, give 1/2- 2/3 maintenance. Image 2/7. Many children present with cardiogenic shock. Clinically - severe pallor, absent pulses, respiratory distress. Start inotropes early. They do not tolerate fluid boluses as in other shocks.