DKA
What are the 3 diagnostic criteria for DKA?
Hyperglycemia, ketonemia/ketonuria, metabolic acidosis
What is the first-line treatment for mild to moderate dehydration in AGE
ORT
What is the most common cause of bronchiolitis?
RSV
1st priority for treating client with asthma exacerbation
fix hypoxemia/give oxygen if sat are <95%
What is the first treatment in DKA?
IV fluids (perfusion first!)
What is first line drug given in mild to moderate dehydration?
Ondansetron
What is Palivizumab?
-RSV prophylaxis
-monoclonal antibody given to high risk patients
What lab value confirms DKA resolution?
normalization of pH
What signs may indicate cerebral edema? (List min 4)
Headache, irritability, vomiting, bradycardia, wide pulse pressure, irregular resp, desaturations
Calculate the minimum fluid requirement/treatment for a 20kg child diagnosed with severe dehydration.
200ml fluid bolus of isotonic IV fluid (NaCl)
list 3 side effects of ventolin
tachycardia, tremors, hypokalemia, nervousness, shakiness, headache, and irregular heartbeat/palpitation, dry mouth
Which Canadian provinces have high incidence of T1DM
Quebec and Newfoundland
What is the purpose of the 3-bag system in DKA?
To adjust dextrose, fluids, and insulin rates safely and flexibly during treatment
A 2 year old child comes in with sunken eyes, diarrhea, low urine output, low energy but responds to commands and plays with your stethoscope, no tears, dry mucous membranes. They weigh 9.5kg. Their weight 1 week ago was 9.7kg. Vitals are HR= 150bpm, BP= 100/60. What stage of dehydration are they in? What is their recommended treatment? Calculate it.
Moderate (BP normal. tired to LOC is not severe). ORT (50-100ml/kg over 4hr, so 475-950ml over 4hr)
List 4 anticipated treatments/nursing interventions for client with PRAM of 9.
ventolin, corticosteroid, magnesium sulphate. IV fluids, monitoring, PRAM reassessments, oxygen, position client to facilitate breathing
What foods would you teach parents to avoid for a client diagnosed with AGE (min 4)?
e.g. Sugary foods, spicy foods, milk, gatorade, fatty foods