fluid management in dehydrated peds

Question 1

fluids are related to ___more than___

Answer 1

metabolism; weight

Question 2

BMR is higher or lower in infants

Answer 2

higher

Question 3

the younger that you are, the ___water weight that you have

Answer 3

more

Question 4

patient weighs under 10 kg, what is 24 hr calculation?

Answer 4

100 mL/kg

Question 5

patient weighs 10-20 kg, what is 24 hr calculation

Answer 5

1000 mL + 50 mL/kg

Question 6

patient weighs >20 kg, what is 24 hr calculation

Answer 6

1500 mL + 20 mL/kg

Question 7

if an infant is moderately dehydrated, what percent dehydrated are they?

Answer 7

10%

Question 8

if a 17 yo is moderately dehydrated, what percent dehydrated are they?

Answer 8

6%

Question 9

infant percentage dehydration for mild___, moderate___, severe____

Answer 9

5%, 10%, 15%

Question 10

older child percentage dehydration for mild___, moderate___, severe____

Answer 10

3%, 6%, 9%

Question 11

when is a bolus indicated in a dehydrated kid?

Answer 11

1. incr HR
2. incr capillary refill
3. decr BP

Question 12

different methods of fluid replacement

Answer 12

1. combined deficit/maintenance

2. sequential deficit/maintenance

Question 13

potassium needs at rest

Answer 13

1 meq/kg/day

Question 14

Na needs at rest

Answer 14

2 meq/kg/day

Question 15

Cl needs at rest

Answer 15

3 meq/kg/day

Question 16

add potassium when?

Answer 16

after 1st void

Question 17

if patient is hypernatremic and dehydrated, then give?

Answer 17

D5.2NS

Question 18

in normonatremic, should correct over ___hrs, and in hypernatremic should correct over ____hrs

Answer 18

24; 48

Question 19

if you correct hypernatremic dehydration too quickly, you will probably get ____

Answer 19

brain edema