Fluid & Electrolyte
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| What is the maintenance fluid requirement for pts under 10kg? | show 🗑
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| show | 1ml/kg/hr
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| show | Age, Sex, Body fat content, and ECF (extracellular fluid)
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| The ____ surface area to body mass in infants contributes to fluid & electrolyte risk factors | show 🗑
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| show | Higher
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| Immature ____ function contributes to fluid and electrolyte risk factor | show 🗑
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| greater vulnerability to severe ____ losses contributes to fluid and electrolyte risk factors | show 🗑
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| show | gained
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| show | sodium
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| show | diarrhea
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| Mild dehydration is less than ____ ml/kg TBW loss in 48hr period, Up to ____% loss of body weight, or____ water per kg in 24hr period loss | show 🗑
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| show | Moderate dehydration is between 50-90 ml/kg TBW loss and between 5-9% weight loss of body water
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| Severe dehydration is greater than ____ml/kg TBW loss or ____% or higher weight loss | show 🗑
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| show | Mild dehydration manifestations include few loose stools, pale complexion, tacky mucous membranes, VS unchanged and normal behavior
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| show | Moderate dehydration manifestations include several loose watery stool, irritability, grayish complexion, dry mucous membranes, sligt depression of anterior fontanel, increased pulse, BP normal or lower and capillary refill 2-3 seconds
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| severe dehydration manifestations include letargy, ____ skin, ____ mucous membranes, ____ anterior fontanel, ____ pulse, ____ BP, and capillary refill greater than ____ seconds. | show 🗑
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| show | Na 130 - 150. Isotonic, Hypertonic and Hypotonic
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| Isotonic dehydration is ____ loss of Na & Water | show 🗑
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| Hypertonic dehydration is when water loss is ____ sodium loss? What is this seen in? Na level? | show 🗑
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| Hypotonic dehydration is when water loss is ____ sodium loss. What is this seen in? Na level? | show 🗑
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| Other than sodium, what are three other imbalances associated with dehydration | show 🗑
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| Therapeutic management of mild dehydration includes oraly rehydration solutions ____ ml/kg over ____ hours | show 🗑
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| Therapeutic management of moderate dehydration is ____ ml/kg over ____ hrs | show 🗑
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| A dehydrated child should not be given ____ to replace fluids because the sugar will cause extra ____ losses | show 🗑
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| Therapeutic management of severe dehydration includes IV fluids of ____ @ ____ml/kg/hr until ___ and ___ return to normal, then ____ ml/kg | show 🗑
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| show | greter than 1.20. Children don't consentrate urine well
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| show | potassium
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| show | 1 tsp every 2-3 minutes
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| show | Measurement of accurate I&O and specific gravity
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| Nursing interventions of dehydration: ____ fluid therapy, provide ____ intake, ____ care and ____ education | show 🗑
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| show | Rotovirus is the most common pathogen causing diarrhea and the diarrhea is bright green. C. diff not common in children
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| show | 1/5 million
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| show | 200,000 hospitalizations and approx - 300 deaths due to dehydration
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| show | Esherichia coli is the most common bacterial agent to cause diarrhea in children
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| show | True
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| A ___ infection outside GI tract can cause ___? | show 🗑
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| show | 50-88%
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| Worldwide there are about ____ million deaths worldwide due to diarrhea | show 🗑
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| show | 6 months to 2 years
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| Adults have acquired ____ to the rotavirus | show 🗑
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| T/F the rotavirus is typically a year round infection. | show 🗑
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| Other than diarrhea, the rotavirus causes ___ & ____ | show 🗑
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| show | Rotarix & Rotateq vaccine
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| show | Normal enteric flora
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| Risk factor for diarrhea in children is placing contaminated ____ in ____ | show 🗑
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| Risk factor for children to get diarrhea is if they are on ____ therapy? Why? | show 🗑
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| Therapeutic management for diarrhea includes assessment for ____ imbalance? If the pt is not vomiting whad diet can you use? | show 🗑
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| show | fluid & give adaquate diet
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| show | fluid loss in cells still going on even tough it stops diarrhea
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| Diahhrea nursing interventions include assess stool for ____, ____, ____ and ____. | show 🗑
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| show | diarrhea nursing intervention includes monitor for signs of dehydration and carefully assess integument status
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| Diarrhea nursing interventions include monitor ____ studies and maintain adequate ____ & ____ requirement? | show 🗑
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| show | diarrhea nursing intervention includes parental teaching - call primary care provider if diarrhea has not improved in 24 hr period, decreased urine, or increased vomit.
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| If there is not improvement of diarrhea in 24hr period it may be caused by ____. | show 🗑
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| Nursing intervention of diarrhea is to education parents for signs and symptoms of ____ | show 🗑
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| show | 1000ml + 50 ml/kg for ea addl kg
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| show | 1500ml + 20 ml/kg for ea addl kg over 20kg
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| show | anterior fontanelle (bregmatic fontanelle, frontal fontanelle)
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| _____ allows the skull to deform during birth to ease its passage through the birth canal & for expansion of the brain after birth? | show 🗑
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| The younger you are the more water in the body. Therefore it is easier to get dehydrated. About ___ years old the TBW approaches that of an adult? | show 🗑
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| show | immature kidney function
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| A 2 year old male arrive to ER with a Hx of Vomiting and diarrhea. The child weighed 40lbs (18.8 kg) 2 weeks ago. The present weight is 17 kg. What is the classification of this child's dehydration? | show 🗑
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| Where do you check skin turger on babies? | show 🗑
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| Where do you check for perfusion? | show 🗑
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| With SEVERE Dehydration What do you as a nurse whant to do? | show 🗑
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| What are the normal Na & K levels? | show 🗑
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| When is metabolic acidosis seen in a dehydrated pt? | show 🗑
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| show | Diuretics, if they are losing a lof of NG drianage
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| show | False may be oral or thru IV
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| show | normal fluid maintenance for wt (plus stool loss) continue breast feeding and/or regular diet AFTER rehydration is achived. So symptoms return to normal.
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| How much ORS would a 5kg infant with mild dehydration intially require per hour? | show 🗑
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| show | over 20 kg = 1500ml + 20 ml/kg foreach kg above 20kg1500 + (20 x 5) = 16001600/24hrs = 66.67
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| In severe dehydration if the pt is unable to take PO & ongoing replacement is need (___ replacement is given 1st ___ hrs, then remaining volume in the next ___ hrs)? | show 🗑
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| What happens too the HR with excess fluid? | show 🗑
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| How many days of vomiting before pt will be put on TPN? | show 🗑
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| Do you want to give a diarrhea pt a lot of juice and caffine? Why? | show 🗑
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| What is the brad diet? | show 🗑
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| What is the minimum amount of wet dippers a pt should have? | show 🗑
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| show | True because you dont want their calories affected
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| Make sure the parents know to bring their child back in if they have ___ in stool or emesis? | show 🗑
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Created by:
cgwayland
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