Perihan Nefro

Question 1

Postnatal diuresis?

Answer 1

Edema lost from ECF with first urination, since babies are born edematous and with high ECF ratio

Question 2

fluid and mineral ratios in the body?

Answer 2

ICF 2/3, ECF 1/3
ECF: Plasma+ ISF
NO PROTEİN İN ISF
Plasma: na,cl,bicarbonate,protein(albumin)
Isf: like plasma but without protein!
K, Mg, Phosphate,sulfate, Protein: icf

Ecf also: Nacl, BUN, glucose

Question 3

Osmolality formula, normal range

Answer 3

2. Na +glucose/18 + BUN/2,8

285+- 10
Thirst triggered above 290

Question 4

What hormones responsible in fluid balance

Answer 4

Adh
Aldosterone
Anf:
Atrial natriuretic factor, due to atrial dilatation inhibits renin and aldosterone. Decreases volume and na.

Question 5

Fluid maintanance/ management in children

Answer 5

Water, electrolytes glucose
Depending on body surface area and weight

Verilecek sıvı miktarları çocuk:
İdame: 1.5-2 litre
Hafif,orta, ağır
Koma/şok: >3.500
Hesaplama: 4.kg+ 7/kg+ 90

İdami:
3-10 kg: 100 ml per kg
11-20: 1000+ 50 per kg
>20 : 1500+ 20 per kg

Question 6

Monitor what for treatment of fluid balance

Answer 6

1.günlük kilo
2. Urine output
3.fluid input
4.urine gravity