T2: Ch. 28-Balance and Imbalance of Body Fluids Flashcards Preview

Pediatrics-MJ > T2: Ch. 28-Balance and Imbalance of Body Fluids > Flashcards

Flashcards in T2: Ch. 28-Balance and Imbalance of Body Fluids Deck (44):
1

What type of dehydration: occurs in conditons in which electrolyte and water deficits are present in approx. balanced proprotions

Isotonic contions

2

What type of dehydration: The ELECTROLYTE deficits exceeds the water deficits

HYPOtonic

3

In HYPOtonic dehydration, what are the plasma sodium concentrations?

Less than 130

4

What type of dehydration: WATER loss in excess of electrolyte loss

HYPERTONIC

5

In hypertonic dehydration, it is usually caused by a proportionately larger loss of ____ or larger intake of _____

Larger LOSS of water or larger INTAKE of electrolytes

6

What dehydration is the primary form of dehydration in children?

Isotonic

7

What dehydration is the most dangerous type and requires much more specific fluid therapy?

HYPERtonic

8

What dehydration sometimes occurs in infants with diarrhea who are given fluids by mouth that contain large amounts of solute

HYPERtonic

9

What dehydraton occurs in children receiving high protein NG tube feedings that place an excessive solute load on the kidneys

HYPERtonic

10

Clinical signs of dehydration: weight loss in INFANTS is 3-5%

Mild dehydration

11

Clinical signs of dehydration: weight loss in INFANTS is 6-9%

Moderate dehydraton

12

Clinical signs of dehydration: weight loss in INFANTS is >10%

Severe dehydration

13

Weight loss in children:
Mild?
Moderate?
Severe?

Mild: 3-4%
Moderate: 6-8%
Severe: 10%

14

What would pulse be in mild dehydration?

Normal

15

What would pulse be in moderate dehydration?

Slightly increased

16

What would pulse be in severe dehydration?

Very increased

17

What would RR be in mild dehydration?

Normal

18

What would RR be in moderate dehydration?

Slightly tachypnea (rapid)

19

What would RR be in severe dehydration?

Hyperpnea (deep and rapid)

20

What would BP be in mild dehydration?

Normal

21

What would BP be in moderate dehydration?

Normal to orthostatic (>10mmHg change)

22

What would BP be in severe dehydration?

Orthostatic to shock

23

What would behavior be in mild dehydration?

Normal

24

What would behavior be in moderate dehydration?

Irritable, more thirsty

25

What would behavior be in severe dehydration?

Hyperirritable to LETHARGIC

26

What would thirst be like in mid dehydration?

Slight

27

What would thirst be like in moderate dehydration?

Moderate

28

What would thirst be like in severe dehydration?

Intense

29

What would mucous membranes be in mild, moderate, and severe dehydration?

Mild: normal
Moderate: dry
Severe: PARCHED

30

Are tears present in mild dehydration?

Yes

31

Are tears present in moderate dehydration?

Decreased

32

Are tears present in severe dehydration?

No, absent SUNKEN EYES

33

How does anterior fontanel look with mild dehydration?

Normal

34

How does anterior fontanel look with moderate dehydration?

Normal to sunken

35

How does anterior fontanel look with severe dehydrate?

SUNKEN

36

Can you see external jugular vein with mild dehydration?

Visible when SUPINE

37

Can you see external jugular vein with moderate dehydration?

Not visible EXCEPT with SUPRAclavicular pressure

38

Can you see external jugular vein with severe dehydration?

Not visible EVEN WITH supreclavicular pressure!!

39

What is cap refill like with mild dehydration?

>2 sec

40

What is cap refill like with moderate dehydration? Skin turgor?

Cap refil: 2-4 sec
Turgor: Decreased

41

What is cap refill like with severe dehydration? What is skin like?

Cap refill: >4 sec and tenting
Skin: Cool, acrocyanotic, or mottled

42

What is urine specific gravity of mild dehydration?

greater than 1.020

43

What is urine specific gravity with moderate dehydration?

greater than 1.020 & OLIGURIA

44

What is urine specific gravity of severe dehydration?

Oliguria or Anuria

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