Misc

Question 1

How do you calculate maintenance fluids?

Answer 1

100 ml/kg for the first 10kg + 50 ml/kg for the second 10kg + 20ml/kg for each kg of body at >20kg

(10010)+(5010)+(20*x) = per day fluid requirement

Question 2

What is the standard resuscitation (rehydration) protocol?

Answer 2

wt in kg* percent dehydrated * 10 = mL of rehydration needed in next 24 hr

1/2 deficit replaced in 8hrs
Other 1/2 replaced in 16 hours

For total, add maintenance+resuscitation

Question 3

Define mild dehydration

Answer 3

5% fluid loss
Hx of V/D
Sticky mucous membranes
No tear when crying

Question 4

Define moderate dehydration

Answer 4

10% fluid loss

Hx of V/D
Physical findings like tenting, at loss, sunken eyes, dmm, lethargy, sunken fontanelles

Question 5

Define severe dehydration

Answer 5

15% fluid loss
Should get 20ml/kg if child- in addition to maintenance and resuscitation
Show signs of cardiovascular instability

Question 6

How do you calculate corrected sodium

Answer 6

Add 1.6 mEqu for each 100mg/dl of glucose beyond 150