Pediatrics Flash Cards - Case 15 Vomit

Question 1

Maintenance fluid rule?

Answer 1

100-50-20 Rule: 100mL/kg/d for first 10kg + add’l 50mL/kg/d for next 10kg + add’l 20mL/kg/d fo ea kg after

Question 2

K+ and Na+ maintenance calculation

Answer 2

3-4mEq of Na+ / 100mL maint fluids + 2-3mEq of K+ / 100mL maint fluids

Question 3

Fluid rehydration for mild-moderate dehydration d/t gastroenteritis in kids?

Answer 3

START: 50-100 mL/kg ORS over 2-4 hrs THEN 10mL/kg/add’l loose stool OR 2mL/kg/add’l emesis

Question 4

Fluid rehydration for mod-severe dehydration d/t gastroenteritis in kids?

Answer 4

20mL/kg IV fluid bolus -> re-eval -> repeat until improved then consider finishing w/ ORS at 100mL/kg over 4 hrs OR twice maintenance dose of 1/2NS in D5W

Question 5

Electrolyte disturbance in pyloric stenosis?

Answer 5

hypochloremic, hypokalemic metabolic alkalosis is one of the hallmarks of pyloric stenosis.

Question 6

Pyloric stenosis usually presents at what age range?

Answer 6

usually presents between 3 and 12 weeks of age

Question 7

CDC rec for replacing each emesis or diarrhea episode?

Answer 7

60–120mL ORS per diarrheal/emetic episode (via NG, if necessary)

Question 8

W/u for infant w/ gastroenteritis?

Answer 8

Wright’s stain for fecal WBCs (sign of bacterial etiology), a stool Rotazyme, and a stool sample for culture and sensitivity