H&I IV: Life span: Exam 2: Dehydration

fl status questions for parents

Questions for parents:

•What intake has child taken?

•Infants: crying tears, wet diapers (how many)

•Behavior: tired versus listless

•Breathing: faster? Working hard (retractions)?

severity of clinical dehydration diagram

dehydration from vomiting management

are antidiarrheal agents recommended for dehydration

NO

severe dehydration management

-monitor electrolytes

-Isotonic IV fls (w/ oral rehydration)

-daily weights

-careful I&O

-monitors vitals (pulse, BP, rate/quality of respirations)

daily fl maintenance for <10 kg

100 ml/kg

daily fl maintenance for 10-20 kg

1000 ml + 50 ml/kg

daily fl maintenance for >20 kg

1500 ml + 20 ml/kg

hourly fl maintenance for <10 kg

4 ml/kg

hourly fl maintenance for 10-20 kg

40 ml + 2 ml/kg

hourly fl maintenance for >20 kg

60 ml + 1 ml/kg