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### 24 Cards in this Set

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 Caloric requirement Premies = 110-120 kcal/kg/day Term infants = 100-110 kcal/kg/day 1 y/o = 1000 kcal/day + 1 yr = + 100 kcal Shock in different ages Systolic BP of: 1 mo-1 yr = <70mm 1-10 yrs = <70 mm + (2xage) >10 yrs = <90 mm Delayed capillary refill is >2 seconds indicates poor skin perfusion doughy skin indicates hypertonic deydration ("salty bread") seizures when Na+< 120 best signs of dehydration (4) 1 - wt loss 2 - lethargy 3 - skin turgor 4 - dryness of mucous membranes (palpated) Rehydration: replacement fluids body wt (kg) x (% dehydration) x 10 Maintenance fluids 100 ml/kg/24h for first 10 kg 50 ml/kg/24h for 2nd 10 kg 20 ml/kg/24h for 3rd 10 kg 20 ml/kg/24h for 4th 10 kg 10 ml/kg/24h for 5th 10 kg 10 ml/kg/24h for 6th 10 kg Normal urine output for child (& oligouria) 1-2mL/kg/h (0.5) how fast to give fluids? 1 - hypertonic dehydration -give evenly over 24h to avoid cerebral edema 2 - iso and hypotonic " -1/2 replacement in 1st 8h, rest in next 16h Breast fed babies have __ glucose levels than bottle-fed lower (but suffer no damage b/c more ketones) Hypoglycemia values AGE HYPOGLYCEMIA whole blood glu plasma glu 72h pH up --> want to retain in kidneys --> use exchanger -->lose Na+ now: low Na+, N K+, N pH Hypokalemia causes -flattened T wave --> can have pulseless VT, torsades de pointes hyperkalemia causes nausea, fatigue, muscle weakness peaked T waves, prolonged QRS tx: Ca++ chloride IV, insulin w/glu, NaHCO3,loop diuretics serum osmoloality formula Na++x2 + (BUN//3 + glu/18)