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Electrolyte Testing in Children

Michael Tchou, MD, Jason Woods, MD, and Michael Cosimini, MD
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Electrolyte testing in pediatric inpatients is primarily directed at detecting clinically significant drangements that would require interventions such as hyperkalemia and hyponatremia. While the cost of individual electrolyte tests are relatively low they are ordered in very large numbers leading to significant cost and clinically insignificant abnormal tests can lead to downstream effects that harm patients and prolonged length of stay. Rates of electrolyte testing and re-testing varies significantly by site more than by diagnosis which suggests cultural reasons for over testing and room for standardization of care

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Hippo Peds RAP - March 2020 Written Summary 209 KB - PDF

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