Module 5 Flashcards

1
Q

Isotonic Dehydration

A

Child is losing equal amounts of fluids and electrolytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hypotonic Dehydration

A

Child has lost more electrolytes then fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hypertonic Dehydration

A

Child has lost more fluids then electrolytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Infant water weight percentage

A

77% Water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What makes kids different

A
  • Large body surface area
  • Higher metabolic Rate
  • Respirations are more rapid
  • Kidneys are immature and can’t conserve water
  • Unable to regulate heat loss well
  • More extracellular fluids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Causes of Hypernatremia ( Sodium imbalance)

A
  • Inadaquet breastfeeding
  • Diabetes
  • Diarrhea and vomiting
  • Excessive sweating
  • Diuretics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Signs and Symptoms of Hypernatremia

A
  • Thirst
  • Decreased urine output
  • Confusion leathery, coma
  • Seizures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Causes of Hyponaretmia Sodium imbalance)

A
  • Diarrhea and vomiting

- Water intoxication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Signs and Symptoms of hyponatremia

A
  • Anorexia
  • Headache
  • Lethargy
  • Confusion
  • coma
  • Frequant cause of seizures under 6 months
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the frequent cause of seizures in infants under 6 months ?

A

Hyponatremia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Treatment for Hyponatremia

A
  • Restrict oral intake of water
  • Oral electrolytes
  • Hypertonic saline infusion 5%NaCl
  • Monitor serum NA levels
  • Assess LOC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Assessments for Hypnatremia

A

Serum Na levels

LOC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Causes for Hyperkalemia ( Too much potassium)

A
  • Renal function
  • Metabolic Acidosis from diarrhea
  • IV overload
  • Blood transfusions
  • Medications
  • Prolonged vomiting and nausea
  • Burns
  • Rhabdomyolysis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Signs and Symptoms of Hyperkalemia

A
  • Musclr weakness to flaccid paralysis
  • Diarrhea can occur in young children
  • Mental Confusion
  • Abdominal cramping in odler children
  • Cardiac arrhythmias to cardiac arrest
  • Respiratory failure
  • Numbness of extremeties
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Treatment of Hyperkalemia

A
  • Stop IV that contain K+
  • Restrict K+ Foods
  • Hymodialysis K+ wasting duiretics
  • IV bicarb, insulin and glucose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Assessments for hyperkalemia

A
  • Urine Output
  • ECG done and cardiac monitor
  • SOB
  • changes in muscle weakness
17
Q

Causes of Hypokalemia

A
  • Dueretics and other medications
  • CH, Nephrotic syndrome
  • Diarrhea
  • Prolonged NPO, anorexia
  • Vomting and nano-gastric suctioning
18
Q

Signs and symptoms of Hypokalemia

A
  • Constipation, abdominal distention, paralytic ileus
  • Muscle Weakness
  • Lethargy
  • Kidney and respiratory failure
  • Cardiac arrythmias
  • Heart Failure
19
Q

Causes of Hypocalcemia

A
  • Chronic generalized malnutrition ( anorexia)
  • Diet low in Vitamin D and Calcium
  • Uremic Syndrome
  • Burns or wound drainage
  • Acute pancreatitis
20
Q

Signs and Symptoms of Hypocalcemia

A
  • Numbness and tingling in extremeites
  • Tremors and Cramps
  • Serum levels in infants and preterm babies
21
Q

Causes of Hypercalcemia

A
  • TPN with to much calcium
  • Prolonged immobility
  • Mega doses of Vitals A or D
  • Disease process like malignancy or Hyper parathyroidism
22
Q

Signs and Symptoms of HyperCalcemia

A
  • Constipation
  • Anorexia, Nausea and vomting
  • Fatigue and muscle weakness
  • Confusion, lethargy decreased attention span
  • Flaccid muscles and failure to thrive
  • Cardiac arrhythmia and cardiac arrest.
23
Q

Treatment for hypercalcemia

A
  • increae fluid intake
  • high fibre diet
  • avoid calcium rich foods
  • weight bearing excercises
24
Q

Assessments for hypercalcemia

A
  • serum calcium levels
  • LOC
  • GI function
  • Urine output, specific gravity and pH
  • Cardiac monitor
25
Q

Causes for Metabolic Acidosis

A
  • Child has ingested Acids, ASA or antifreeze
  • Ketoacidosis,- Diabetes mellitus
  • Kidney disnease
26
Q

Signs and Symptoms of Metabolic Acidosis

A
  • Increase rate and depth of breathing
  • Severe acidosis
  • Cardiac arythmias, hypotension, pulmonary edema, tissue hypoxia
  • Confusion, headache, abdominal pain
27
Q

Causes of Metabolic Alkalosis

A
  • Hypokalemia
  • Severe vomiting
  • Pyloric Stenosis
  • Removal of gastric contents
28
Q

Signs and Symptoms of Metabolic Alkalosis

A
  • Respiratory rate and depth decrease
  • Cramping, tenant, seizures and neuromuscular irratablitity increases
  • weakness, confusion, lethargy and coma
29
Q

Dehydration Causes

A
  • Complication of gastroenteritis

- Output greater then intake

30
Q

Symptoms of dehydration

A
  • Decrease capillary refill
  • Poor skin tugar
  • Dry mucous membrans
  • Sunken eyes or fontanel
  • Less frequant or no urineation
  • Increase Breathing
31
Q

Classifications of Dehydration

A
  • 5% MILD
  • 5-10% MODERATE
  • Greater then 10% severe
32
Q

Gorelick Score

A

General Appearance
Eyes
Mucous Membranes
Tears

33
Q

Dehydration treatment in hospital

A
  • lactated Ringers Solution
  • Nursing assessment
  • Maybe NPO
  • Electrolyte solution
34
Q

Treatment for dehydration at home

A

Oral rehydration solution

35
Q

What are rehydration volumes based on?

A

Weight in Kgs

36
Q

Average urine output for infants

A

2mL/hr

37
Q

Average urine output for Children

A

0.5mL/hr

38
Q

Average urine output for Adolescents

A

40-80 mLs/hr