Fluid/Electrolytes Flashcards
1
Q
Flaccid paralysis, hypotension, confusion, coma…
Electrolyte abnormality?
Treatment?
A
Hypermagnesemia (symptomatic)
Tx:
Calcium gluconate/calcium chloride… followed by hydration/diuresus –> dialysis if renal dysfunction
2
Q
Gastric fluid losses metabolic derangement?
A
hypOkalemic, hypOchloremic, hypERnatremic metabolic ALKALOSIS
3
Q
Post-partum hemorrhage –> hypopituitarism and hypotension… Diagnosis? Electrolyte abnormality?
A
Sheehan’s syndrome
Electrolyte abnormality: hypOnatremia
4
Q
What is the fluid resuscitation rate and choice for a 5kg infant with pyloric stenosis?
A
30cc/hr of D5 1/2NS +20KCL
Note: 1.5x maintenance rate is used for pyloric stenosis due to nausea, vomiting and decreased oral intake
