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8 Cards in this Set

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When is Oral Rehydrating solutions usually only successful?
In Mild & Moderate Dehydration
What are the signs of Hypovolemic shock?
decreased BP

Increased Cap refill to 2-3 s
What is given for Hypovolemic Shock?
IV bolus of 20 ml/kg of isotonic solution
-reassess & if necessary give another bolus
In Isonatremic dehydration, the deficit should be replaced over how long?
8-24 hours
In Hyponatremic dehydration, the deficit should be replaced over how long?
8-24 hours
In severe Hyponatremic Dehydration, Na may be given as a ______ solution. List the formula that is used to figure out how much solution is administered
3% NaCl

(desired Na - current Na) X (0.6 X Kg) = amount of mEq Na that can be given as 3% NaCl solution
In Hypertonic Dehydration, the deficit should be replaced over how long? Why?
48 hours

prevents fluid shifts into the cells. A rapid decrease in serum Na decreases serum osmolality faster than intracellular osmolality, & therefore fluid goes into the cells, resulting in edema. Na should be lowered no faster than 10 mEq/L/d.