Dehydration Flashcards

1
Q

Dehydration define

A

Decrease the body water due to increased water loss and or decrease the intake
Lots of water and electrolytes, mainly sodium from extracellular fluid

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2
Q

Clicical picture of dehration

A
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3
Q

What is the test done to know that the skin lost its elasticity?

A

Pinching the skin will go back slow slowly more than two seconds

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4
Q

Most dangerous type of dehyration and why why

A

Hyper tonic
Intra cranial hgh
Rebound edema in ttt

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5
Q

The commonest type of dehydration

A

Iso tonic

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6
Q

Moist skin in dehdartion

A

Hypotonic

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7
Q

Normal serum na

A

130-150

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8
Q

Comapre between types of dehydration
Incidence
Na
Cause
Pathophydiology
Manifestion of
Ecf
Icf

A
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9
Q

Only symptom detected in mild dehydration

A

Weight loss from 3-5 %

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10
Q

Compare between degrees of deydartion

A
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11
Q
A

Sunken ant fontanella

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12
Q
A

Tenting

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13
Q
A
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14
Q
A
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15
Q

Why glucose used in ors

A

Fcailitate water and na absorbtion even during diarrhhea
Not as caloric source or for taste

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16
Q

Composition of ORS suchet

A
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17
Q

Composition of ORS dissolved in 1 L

18
Q

How to use ORS when there is a risk of developing hypernatremia

A

Low sodium content 45/60 milliliters, equivalent per liter

19
Q

Mention a moment used in the diarrhea was dehydration of ORS

20
Q

Mention the amount used of ORS in diarrhea with no dehydration

21
Q

Maximum range of serum sodium taking ORS

22
Q

Mention indications of ORS

23
Q

Methods of giving ORS give the usual method and the exception method

24
Q

Timing of feeding it, and the method and the aim

25
Is antibiotics routine used for diarrhea
No bec
26
Metronidazole Flagyl is indicated if
27
Mention ttt plan
ORS Feeding eraly gradual Drugs ( ab only in bacillary , flagyl if parasite) Symptomatic ttt(fever , vomiting , diarrhea) Ttt of complication
28
Indications of iv in case of dehydration
29
Describe steps of crystalloid incase of dehydration
30
When u should add k and how much
Voids urine 20 mL equivalent per liter Ampoule 10 cm
31
When not to give k to patient
When he doesn’t void urine When using kadlex
32
Rate of NA decline is
10-12 meq/l per day
33
To rapid reduction in the plasma sodium will lead to
Shifting of water into cerebral cells will lead to cerebral edema and convulsions
34
How to treat a cerebral edema due to rapid deductions of plasma sodium
Boy using hypertonic saline 3%
35
What to do in severe resistant cases of severe hypernatremia with sodium intoxication
Peritoneal dialysis
36
Duration of IV fluids, according to concentration in hyper dehydration
37
Mention type of the fluids and the rate of sodium drip drop in hypernatremia dehydration
38
Add hyponatremic dehydration why correction of sodium must be slow
To avoid acute pontine demylnisosi
39
The type of the flute amount and the duration in hypothermic dehydration
40