Comm Serve - Paeds

Question 1

Basis of fluid Mx:

Answer 1

Question 2

Components to fluid Mx:

Answer 2

1. Resus fluids
2. Maintenance
3. Rehydration
4. Losses

Question 3

Resus fluids - when used?

Answer 3

1. When pt. in shock

Question 4

Resus fluids - Fts of shocked pt:

Answer 4

1. CRT > 5s
2. Cold peripheries
3. Weak, thready pulse

Question 5

Resus fluids - What fluids to use?

Answer 5

1. Either R/L
2. Or N/S

Question 6

Resus fluids - How to give fluids?

Answer 6

1. Give 1st IV push - 20 mls/kg
2. Reassess pt immediately - CRT, Peripheries, Pulse
3. Give 2nd IV push - 20 mls/kg
4. Reassess pt immediately - CRT, Peripheries, Pulse
5. Give 3rd IV push - 20 mls/kg

Question 7

Resus fluids - How to give fluids to SAM, cardiac or neonates?

Answer 7

1. Give fluids at 10 mls/kg over 30 min

Question 8

Maintenance - what fluids to use?

Answer 8

1. Oral feeds - milk or formula
2. IVF - 1/2 DD

Question 9

Maintenance Rate - < 1 yr:

Answer 9

1. 120 mls/kg/day

Question 10

Maintenance Rate - 1-2 yr:

Answer 10

1. 100 mls/kg/day

Question 11

Maintenance Rate - 3-4 yr:

Answer 11

1. 80 mls/kg/day

Question 12

Maintenance Rate - 5 yr:

Answer 12

1. 60 mls/kg/day

Question 13

Rehydration - 5% dehydration - Clinical findings:

Answer 13

1. Dry mucous membranes
2. Sunken eyes
3. Lethargy
4. Irritable

Question 14

Rehydration - 5% dehydration - Rx:

Answer 14

1. 50 mls/kg/day

Question 15

Rehydration - 10% dehydration - Clinical findings:

Answer 15

1. Dry mucous membranes
2. Sunken eyes
3. Lethargy
4. Irritable
5. Decreased skin turgor
6. Sunken fontanelle
7. Decreased LOC

Question 16

Rehydration - 10% dehydration - Rx:

Answer 16

1. 100 mls/kg/day

Question 17

Losses - IV dose:

Answer 17

1. 30 mls/kg/day

Question 18

Losses - if tolerating oral feeds:

Answer 18

1. SOROL 10 mls/kg AELS