fluid and electrolytes

Question 1

holliday segar

Answer 1

> 10 kg = 100
20 = 50
20+ = 20

Question 2

mild dehydration

Answer 2

weight loss 3-5%
active alert
moist mucous
tears present
treat: ORS

Question 3

moderate dehydration

Answer 3

weight loss 6-9%
irritable, alert, thirsty
cap refill >3sec
slightly increased pulse
slight tachypnic
normal or low ortho hypot
dry mucous membranes
less tears
brief tenting
normal or sunken fontanelle
reduced urine flow
treat: ORS

Question 4

severe dehydration

Answer 4

weight loss >10%
lethargic, look sick
cap refill >4 sec
fast and thready HR
fast and deep breathing
orthostatic to shock hypot
parched mucous membranes
absent tears
sunken eyes
prolonged tenting, mottling, acrocyanosis, cool skin
significantly sunken fontanelle
severely reduced urine flow
treat: IV fluids