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Test 1 study guide c4
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fluid and electrolyte balance
dehydration in peds: objective - weight loss
s/s dehydration: poor skin turgor hypotension high urine specific gravity ; ; ;
increased BUN increased sodium increased potassium ; ;
hypernateremia: give 0 45% NaCl hypotonic fluids .
burns: give LR signs of fluid resuscitation improvements: decreased B/P and ;
HR
potassium 6 9: give kayexelate (sodium polystyrene sulfonate) .
review parkland formula
hypocalcemia: give potassium supplement
calcium levels 9-11 mEq/L
hypocalcemia: tingling
renal failure with high phosphorus: give stool softener
heart failure: give lasix and monitor potassium levels
acid base balance
know normal valves of pH, CO2, HCO3
know clinical manifestations and management
study tip: cut body in half - UP (nausea, vomiting) alkalosis DOWN = ;
(diarrhea, tingling in toes) acidosis =
laryngotracheotitis (croup): stridor emergency care put child in cold shower ;
or cool mist to decrease stridor
epiglottitis: droplet precautions, isolated and high fowlers positioning
