Module 5 Flashcards
Isotonic Dehydration
Child is losing equal amounts of fluids and electrolytes
Hypotonic Dehydration
Child has lost more electrolytes then fluids
Hypertonic Dehydration
Child has lost more fluids then electrolytes
Infant water weight percentage
77% Water
What makes kids different
- 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
Causes of Hypernatremia ( Sodium imbalance)
- Inadaquet breastfeeding
- Diabetes
- Diarrhea and vomiting
- Excessive sweating
- Diuretics
Signs and Symptoms of Hypernatremia
- Thirst
- Decreased urine output
- Confusion leathery, coma
- Seizures
Causes of Hyponaretmia Sodium imbalance)
- Diarrhea and vomiting
- Water intoxication
Signs and Symptoms of hyponatremia
- Anorexia
- Headache
- Lethargy
- Confusion
- coma
- Frequant cause of seizures under 6 months
What is the frequent cause of seizures in infants under 6 months ?
Hyponatremia
Treatment for Hyponatremia
- Restrict oral intake of water
- Oral electrolytes
- Hypertonic saline infusion 5%NaCl
- Monitor serum NA levels
- Assess LOC
Assessments for Hypnatremia
Serum Na levels
LOC
Causes for Hyperkalemia ( Too much potassium)
- Renal function
- Metabolic Acidosis from diarrhea
- IV overload
- Blood transfusions
- Medications
- Prolonged vomiting and nausea
- Burns
- Rhabdomyolysis
Signs and Symptoms of Hyperkalemia
- 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
Treatment of Hyperkalemia
- Stop IV that contain K+
- Restrict K+ Foods
- Hymodialysis K+ wasting duiretics
- IV bicarb, insulin and glucose