Dehydration
These are the three categories of dehydration in pediatrics patients more than 1 month of age and their classification percentage.
What is mild <5%, moderate 5-10%, and severe >15% of their body weight?
This is advised to administer orally for dehydration.
What is diluted juice or oral rehydration solutions and continue age-appropriate diet as tolerated?
This is the dose of ondansetron for peds patients with vomiting.
What is 0.15mg/kg dose (max dose 8mg) of Ondansetron for vomiting?
This is when to initiate IV in non-severe dehyrdration.
What is if oral ineffective, move to IV hydration?
This is also known as dehydration and can be a common occurrence for many patients.
What is fluid volume deficit?
This rule is used to calculate the hourly infusion rate for maintenance fluids, generally for pediatric patients.
What is the 4-2-1 rule?
4mL/kg/hr for the first 10kg of body mass
2mg/kg/hr for the next 10kg of body mass
1mg/kg/hr for body mass beyond 20kg
This is the amount of boluses given if severely dehydrated.
What is bolus = NS 10-20mL/kg or 5-10mL/kg if worried about myocardial or renal dysfunction?
This is how to calculate deficit in dehydration?
What is calculate deficit= % dehydrated x weight in kg?
This is how to calculate maintenance IV fluids.
What is calculate maintenance fluids in mL/hr with 4-2-1 rule?
Some individuals and populations are more at risk of developing dehydration than others, this is known as...
What are risk factors?
Calculate the maintenance rate up to 10 kg for the first 10 kg of body mass.
What is
100 ml/kg/24-hours = 4 ml/kg/hr for the 1st 10 kg
?
Name these IV fluids that are used for the correction of severe dehydration.
What are Typically D5NS +/- 20mEq/L KCl?
This is what you should be careful of before adding KCL to fluids.
What are Urine output and Electrolytes and kidney function values?
This is why you need monitoring ins and outs after you initiate fluids in severe dehydration.
What is to measure ongoing losses (i.e. vomit, diarrhea, sweat etc.) and replace as needed?
Patient’s lab values will return to baseline is known as this.
What is an expected outcome?
Calculate the maintenance rate from 10-20 kg of body mass.
What is... ?
This is the maximum amount of times a bolus can be administered.
What is 3 times?
This is why dextrose is added in pediatric IVF for dehydration correction.
What is because kids have a smaller glucose reserve in their liver?
These are the signs of hypernatremic dehydration?
What are lethragy
seizures
doughy skin
capillary fill maybe normal ?
Daily weight measurements will allow the nurse to easily monitor for potential fluid overload when rehydrating patients. This is an example of...
What is nursing intervention?
The assumption that allows this formula to work is that a fixed amount of fluid is needed for every kilogram per day.
What is the Holliday-Segar Method Rule?
This is the amount of sodium present in a liter of normal saline (NS) and lactated ringers (LR).
What is NS - 154 mEq/L and LR - 130 mEq/L?
This is how to calculate total fluid replacement in severe dehydration.
What is Calculate Total Fluid Replacement Over 24h = deficit + maintenance – bolus ?
These are alternatives to children with difficult IVS in severe dehydration.
What are NG tube and IO?
These are essential for the patients recovery.
What are nursing interventions and care?