Fluid therapy in surgical children Flashcards
1
Q
What are the 3 things that have to be calculated before starting IV fluids in children
A
Deficit
Maintenance
Replace on-going loss
2
Q
How is Deficit evaluated
A
Clinical:
- Skin turgor
- Delayed capillary refill
- Tachycardia
- Poor colour
- Dry mucous membranes
- Respiratory distress
Weight
Urine output
3
Q
What are examples of ongoing loss conditions in children
A
- Nasogastric drainage/vomiting n Watery stools
- Short bowel syndrome
- Ileostomy
- Mechanical ventilation
- Phototherapy
- Trauma: Burns, Post-operative
4
Q
What are the special cases that have to be considered for fluid therapy
A
Hypertrophic pyloric stenosis
Gastroschisis
Neonates
5
Q
What are the special cases that have to be considered for fluid therapy
A
Hypertrophic pyloric stenosis
Gastroschisis
Neonates
6
Q
What does Two sides stand for in transport of the neonate
A
T - Tubes
W - Warmth
O - Oxygen
S - Stabilise
I - IV fluid
D - Documents
E - Escort
S - Specimens
