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### 10 Cards in this Set

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 Principles of treatment of rehydration - Provision of maintenance daily fluid and electrolyte requirements - Plus replacement of deficit fluids and electrolytes - Plus replacement of ongoing losses Which solute to use if moderate to severe dehydration? with hypoglycemia? LR NaCl 0,9% Hypoglycaemia : D10% D5% Which solute to use if isotonic dehydration Isotonic dehydration : Na 130-150 NaCl 0.45% D5% Which solute to use if hypotonic dehydration Hypotonic dehydration : Na <130 If seizures : NaCl 3% 40 cc/hr If Na < 130 : D5% NaCl 0,9% if Na > 130 : D5% NaCl 0,45% Which solute to use if hypertonic dehydration Hypertonic dehydration : Na > 150 D5% NaCl 0.2% Which solute to use if diabetic patient with low glucose NaCl 0.9% and D50% Try glucagon injection Comment déterminer le débit d'administration d'un soluté? Débit : Besoin d'entretien + Déficit estimé - Bolus donnés + Température 1/2 bolus durant les premières 8 heures et 1/2 durant les 16 heures 1) Besoins d'entretien règle 4,2,1 premiers 10 Kg = 4cc/kg/h autres 10 kg = 2cc/kg/h après 20 kg = 1cc/kg/h règle 100, 50, 20 0-10 kg = 100cc/kg/24h 10-20 kg = 50 cc/kg/24h > 20 kg = 20 cc/kg/24h 2) Déficit estimé DE = 10 x (% dehydration) x poids(kg) / 24 3) Si hyperthermie est surajoutée, on ajoutera environ 7 cc/kg/24 h pour chaque degré d'augmentation de température > 37.5 Boluses 1) Adult 2) Children Adult : 1-2 L IV Child : 20 cc/Kg IV x2-3 K requirements? How to administer potassium? Child : 2-3 mmol/kg/24 hrs Adult : 1 mmol/kg/24 hrs Potassium is always administered in an infused solution, never in a bolus. Maximum 40 mmol/L Common IV fluids in children and neonate First month of life : D5W + 0.2 NS + 20 mEq KCl/L Children : D5W + 0.9 NS + 20 mEw KCl/L