Pediatric Metabolic Emergencies

  • Sadiqa A. I. Kendi


Metabolic emergencies must be considered in the vomiting, lethargic, irritable, or seizing neonate or child. This chapter includes “Quick Hits” and a pathway for consideration of adrenal crisis versus inborn errors of metabolism (IEM). The metabolic emergency pearls are a must-know in pediatric emergency medicine.


Lethargy Irritability Ketosis Hypoglycemia Fluid resuscitation Electrolytes Hyponatremia Hyperkalemia Metabolic acidosis Lactate Ammonia Adrenal crisis Inborn error of metabolism (IEM) Cortisol Dextrose Hydrocortisone 

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Pediatric Emergency Medicine, Children’s National Health SystemWashington, DCUSA

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