Pediatric Fluid Balance- Dehydration And Gastroent
Pediatric Fluid Balance- Dehydration and Gastroent
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Pediatric Fluid Balance- Dehydration and Gastroenteritis Exam Questions and Answers Already Passed
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Pediatric Fluid Balance- Dehydration and Gastroent
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Pediatric Fluid Balance- Dehydration And Gastroent
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Pediatric Variances- higher risk for fluid imbalance - Answers -TBW= 75% - 80%
- Larger proportional surface area of the GI tract than adults
- greater body surface area and higher metabolic rate than adults
- dependent on others to meet fluid needs
- Limited ability to dilute...
- Larger proportional surface area of the GI tract than adults
- greater body surface area and higher metabolic rate than adults
- dependent on others to meet fluid needs
- Limited ability to dilute and concentrate urine
Dehydration def - Answers occurs whenever total output of fluid exceeds intake
Dehydration causes - Answers - insensible fluid loss (tachypnea, sweating)
- Decreased fluid intake
- increased renal excretion
- GI tract dysfunction (V &D)
- DKA
- Burns
Dehydration mild stage - Answers - 3-6% wt loss
- thirst
- Decreases urine frequency
- Darker yellow urine
- Dry, cool skin
Dehydration Moderate stage - Answers - all mild symptoms
- 7-10 % wt loss
- Decreased urine output
- Dry or sticky mouth
- HA
- Muscle cramps
Dehydration Severe - Answers - all mild and moderate symptoms
, - >10 % wt loss
- no urine output
- Sleepy or lethargic
- Not responding to pain
- Irritability or confusion
- Delayed cap refill
Dehydration symptoms - Answers - tachypnea
- Increased HR
- restlessness and or irritability
- lethargy weakness
- poor skin turgor
- sunken fontanelle (infants)
- Sunken eyes
- Lack of tears
- wants to drink a lot of water
- Decreased urine output
Dehydration can lead to hypovolemic shock - what are some red flags - Answers - Sleepy or lethargic
- Not responding to pain
- Delayed cap refill
- Hypotension
- Cyanosis
- Cool peripheries
Types of dehydration - Answers isotonic (water and Na lost at equal amounts) ( main one seen in
children), hypotonic (electrolytes loss greater than water), hypertonic (water loss greater than
electrolyte)
Manage dehydration - Answers -fluid replacement is the primary goal
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