Fluid Basics
Young children are prone to getting these because of having shorter urethras
What are UTIs
A child comes into urgent care with vomiting and diarrhea for the past 2 days. You would anticipate this electrolyte being low
what is potassium
ORS is the abbreviation for this
What is oral rehydration solution
The nurse would recognize a severely dehydrated child who had this level of urine output ___ml/kg/hr
what is 0.5
Parents should avoid this type of beverage as it can worsen diarrhea
what is juice or dairy
Infants are at a higher risk of deyhdration because they have a higher proportion of ______.
What is body water
This serum electrolye becomes elevated when water loss exceeds solute loss
what is sodium
This IV fluid would be used for a bolus in a severely dehydrated child
What is isotonic fluid (NS or LR)
The nurse is aware that this VS is the last to change in regard to dehydration status
what is blood pressure
Parents should monitor this at home after a diagnosis of dehydration
What is Intake and output
Name an example of insensible fluid loss in children
What is Fever, sweating, GI illness with V and D
This ABG complication is common with vomiting
what is metabolic alkalosis
The nurse should wait this timeframe until vomiting ceases before starting ORS
what is 1-2hrs
The nurse would question the order of D5 1/2NS+ 20KCL until they were aware of the client's _____ status.
This lab test is irrelevant in children under 2 because their kidneys don't concentrate urine adequately
What is specific gravity
A child has diarrhea with pH 7.30, HCO₃ 15, and PaCO₂ 30. Identify the compensatory mechanism that is happening.
what is "breathing faster" to blow off CO2
partially compensated metabolic acidosis (losing bicarb) 15 is low, (22-26 norm)
PaCO2 is low (norm 35-45)
A child weighs 22lbs and is diagnosed with moderate dehydration. How much ORS should they receive over 4hrs?
What is 1000 cc
what is rotavirus
A child who has fever and diarrhea is most at risk for which ABG variation
What is metabolic acidosis (uncompensated)
ph 7.3
PaCO2 40 (35-45)
HCO3 18 (22-26)
A child with poor renal function has potassium of 6.2 mEq/L. The nurse is most concerned about this complication
What are cardiac dysrhythmias due to hyperkalemia
A child experiencing fluid overload may exhibit edema, weight gain, and _________
what are crackles in the lungs
A 12 kg severely dehydrated child needs to receive a LR bolus before starting maintenance fluids. The volume that the nurse anticipates being ordered is...
What is 240 cc
An 8 kg child is experiencing moderate dehydration and has 1 more bout of diarrhea. The parents should attempt to have the child consume this much ORS over 4 hours
What is 816 cc