AGE
What is the first-line treatment for mild to moderate dehydration in AGE
ORT
Why are children with T1DM at risk of DKA during illness?
Stress hormones increase insulin resistance and ketone production
What is first line drug given in mild to moderate dehydration?
Ondansetron
Which Canadian provinces have high incidence of T1DM
Quebec and Newfoundland
Calculate the minimum fluid requirement/treatment for a 20kg child diagnosed with severe dehydration.
200ml fluid bolus of isotonic IV fluid (NaCl)
What education should be reinforced at discharge after a DKA episode? (min 3)
Sick day management, ketone monitoring, insulin adherence, and follow-up care, s/s of DKA
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
list 3 roles of counter regulatory hormones in blood glucose management/T1DM
*bonus 100pts, list the counter-regulatory hormone released by the pancreas and its role
-glycogenolysis, gluconeogenesis, lipolysis, ketogenesis
-glucagon- glycogenolysis
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)
polyuria, polydipsia, polyphagia, weight loss, cognitive concerns, poor wound healing, fatigue, hunger