pediatric IV fluids

Question 1

what is the most commonly used method for estimating g maintenance fluid requirements

Answer 1

holliday-segar method

estamination on weight

Question 2

4-2-1 rule

Answer 2

first 10 kg = 4ml/kg/hr
10-20 kg = 2 ml/kg/hr
>20 kg = 1 ml/kg/hr

Question 3

what is the maximu total fluid per day kid

Answer 3

2,400 mL

Question 4

what is the max fluid rate

Answer 4

100 mL/hr

Question 5

NS 0.9% Na and Cl meq
1/2 NS
d5 1/4

Answer 5

154
77
34

Question 6

dehydration signs (4)

Answer 6

capillary refill over 2 seconds
dry mucous membranes
absent tears
abnormal general appearance

Question 7

fluid bolus for rehyrdration

Answer 7

isotoni fluid (NS, LR)
10-20 cc/kg per bolus in pediatric pts

Question 8

gold standard for assessing degree of dehydration?

Answer 8

weight

Question 9

preillness weight - post illness weight =

Answer 9

kg = ccs lost

Question 10

example” 20 kg child is determined to be 10% dehyrdated

Answer 10

0.10 X 20 kg = 2 kg

2 kg X 1000 = 2000 cc of luid deficit

Question 11

how to administer rehydration fluid

Answer 11

first half of deficit given over first 8 hours
remainder given over next 16
on top of maintenance fluid