Misplaced fluids
Attempted first for mild to moderate cases of dehydration
What is oral rehydration
The three labs to be monitored with acute gastroenteritis
What are Na, K, and urine specific gravity
Obtain baseline weight, observe familial interactions, determine emotional needs of the family & provide support, advise on applicable support groups, consult with service work for needed services. Instruct about proper feedings and care and assess the ability to feed.
What is the pre-op care for cleft palate repair
Star Wars disease due to the bowel telescoping into a more distal segment resulting in obstruction causing edema in the area
What is Intussusception
Forceful ejection of gastric contents
What is vomiting
The ideal determinant for evaluating fluid loss
What is body weight assessment
135-145, 3.5-5, and 1.005-1.030
What are the normal ranges for Na, K, and urine specific gravity
6-12 months of age w/additional surgeries to improve defects and aesthetics
What is the surgery timing for cleft palate repair
How is intussusception diagnosed
Ultrasound
The burn rule not used in kids
What is the rule of 9s
1. 50mL/kg w/50mEq with sodium per liter rehydration fluid within 4 hr
2. 30mL/h of oral rehydration for infants, 60 mL/hr for toddlers, and 90 mL/hr for older children.
3. 100 ml/kg rehydration fluid within 4 hr
What is mild, moderate, and severe dehydration
What is mild dehydration (1), severe dehydration (2), and moderate dehydration (3)
Type of fluid to be given to prevent hypovolemic shock in acute gastroenteritis
What is Isotonic fluid
Why syringe feeding is used
No other methods of feeding worked
What must be monitored for post procedure for intussusception
abdominal pain post procedure as it may indicate a reoccurrence of the intussusception and stool patterns to assess for recurrence of currant jelly like stools
The correct order of abdominal assessment for peds
Inspect, auscultate, superficially palpate, deep palpate
What indicators will have an increased fluid requirement?
Fever, V/D, Kidney-failure, DM, DKA, Burns, Shock, tachypnea, phototherapy
What are the interventions for acute gastroenteritis?
Antiemetics, isotonic fluids unless directed otherwise by labs, monitor diarrhea, monitor I/O
straws, tongue depressors, hard pacifiers, rigid utensils, hard-tipped sippy cups, or suction catheters in the infant’s mouth after repair.
What should be avoided post cleft palate repair
What 2 things must we prepare the parents for with intussusception
NG tube placement for gastric decompression and air enemas
Water, Fruit juices without pulp, Carbonated drinks, Gelatin without fruit, Tea or coffee without milk, cream or nondairy creamer, Clear, fat-free broth, Ice pops without milk, bits of fruit, seeds or nuts.
What is the clear liquid diet to be used post abdominal surgery
What indicators have a decreased requirement of fluid
Heart failure, SIADH, Mechanical ventilation, oliguric renal failure, increased ICP
Will be started once fluids can be held down
What is ORT (Oral Rehydration Therapy)
One-way valves and specially cut nipples
The s/s of intussusception
Sudden onset, previously healthy infant, Acute abdominal pain, vomiting, Bilious emesis, palpable abdominal mass *Red currant jelly stool, mix of blood and mucous*
Glucose intolerance