Fluids and Electrolytes in Peds Flashcards
What is insensible heat loss?
Evaporation from skin and resp tract
What happens to water weight as you get older?
70% at birth
60% by one year
Continues to decline
What is the Fluid requirement for Kids 3-10 kg?
100mL/kg in 24 hours OR
4mL/kg per hour
What is the Fluid requirement for Kids 10-20 kg?
1000mL/kg in 24 hours OR
40mL/kg per hour
What is the Fluid requirement for Kids >20 kg?
1500mL/kg in 24 hours OR
60mL/kg per hour
What Percent Dehydrated is an Older child at mild/mod severe?
3%, 6%, 9%
30, 60, 90mL/kg down
What Percent Dehydrated is an Infant at mild/mod severe?
5%, 10%, 15%
50, 100, 150 mL/kg down
What are the effects of giving a bolus of fluid?
Rapid Recruitment
Restores IV volume
Diminishes myocardial work
improves sense of well being
What is Combined Deficit/Maintenence?
Subtract bolus
Divide remaining deficit in 1/2 and give 1st half over 8hrs and 2nd half over next 16 hours + constant maint rate
What is Sequential Deficit/Maintenence?
Subtract bolus
Divide remaining deficit over 8hrs
Next 16 hours give maint at 1.5 rate
What are the Potassium needs at rest?
1 meq/kg/day
What are the Sodium needs at rest?
2 meq/kg/day
What are the Chloride needs at rest?
3 meq/kg/day
What are the Clincal observations considered in dehydration?
Skin turgor Skin touch Buccal Mucosa Eyes Tears Fontanelle CNS Pulse Cap refill Urine output
What Does AVPU stand for?
Alert
Verbal
Pain
Unresponsive
