gastroenteritis
This is the preferred treatment for mild/moderate pediatric dehydration.
What is oral rehydration solution?
A child weighs 8 kg. The daily maintenance formula is:
8 × 100 = ?
Answer: 800 mL/day
The nurse is about to give metoprolol. The patient has HR 44/min and new dizziness. What should the nurse do?
A. Give the medication
B. Double the dose
C. Hold/assess according to parameters
D. Give potassium
C
These are two oral rehydration drinks specifically emphasized in your review.
What are Pedialyte and Gatorade?
A child weighs 14 kg.
1000 + [(14 − 10) × 50] = ?
Answer: 1,200 mL/day
A DKA patient has BP 82/44 and K⁺ 5.8. Which comes first in the class treatment framework?
A. Potassium replacement
B. 0.9% NS fluid resuscitation
C. Glargine
D. Fluid restriction
Answer: B
This type of medication should NOT be used to simply stop the diarrhea according to your professor's review.
What are antidiarrheal medications?
A child weighs 25 kg.
1500 + [(25 − 20) × 20] = ?
Answer: 1,600 mL/day
A patient has BP 202/128 but is alert, oriented, and has no acute organ damage. This is:
A. Emergency
B. Encephalopathy
C. Urgency
D. Normal
Answer: C
A patient has Type 1 diabetes and arrives with glucose 540 mg/dL, deep rapid respirations, fruity breath, dry mucous membranes, BP 84/50, and K⁺ 5.8. The nurse recognizes the emergency and begins the treatment emphasized in class. During treatment, potassium is expected to shift in which direction, and why must the nurse monitor it?
What is potassium moving INTO the cells because of insulin, causing serum K⁺ to potentially fall?
If a child is vomiting but isn't severely dehydrated, oral fluids should be given this way.
What is slowly/in small amounts?
A child requires 1,200 mL/day. This is the approximate hourly maintenance rate.
Answer: 50 mL/hr
A patient has BP 195/122 with new seizure activity. This is:
A. Urgency
B. Emergency
C. Normal hypertension
D. Primary hypertension
Answer: B
A child receiving IV fluids should not receive added potassium until this has occurred.
What is adequate urine output/voiding?
A child weighs 32 kg. Calculate the daily maintenance fluid.
Answer: 1,740 mL/day
A child has severe dehydration, weak rapid pulse, lethargy, and rapid breathing. Which is expected?
A. Antidiarrheal medication
B. Oral fluids only
C. Isotonic IV fluid bolus
D. 3% NaCl bolus
Answer: C