types of dehydration

Description

SELFY Flowchart on types of dehydration, created by Ali Almudarsy on 19/09/2018.
Ali Almudarsy
Flowchart by Ali Almudarsy, updated more than 1 year ago
Ali Almudarsy
Created by Ali Almudarsy about 6 years ago
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Resource summary

Flowchart nodes

  • 135 meq/l
  • 145 meq/l
  • 150 meq/l
  • hyponatremia
  • normal value
  • hypernatremia
  • severe hypernatremia
  • Serum Na
  • Both of them (hypo-natremia & iso-natremia ) treated by :-(Normal Na -patient Na )X 0.6 X BWT =meq of Na during 24/36 hrs
  • Hypernatremia treated by 75 ml/kg/4hrs ORS SLOWLY 1/3 Glucose Saline. Drop S. Na =10-15 meq/l only daily.  
  • 5.3
  • 3.5
  • Serum K+
  • Hypokalemia
  • Treated of hypokalemia by:- 1-initial Rehydration  2-after urination add K+ 3-late repair hypokalemia   +orally 2.5-3.5meq /kg/day   +IV. fluid Max 40 meq/l/day  -1mlKcl=2meq . 
  • Hyperkalemia
  • Metabolic acidosis 
  • increase HCO3 Kussmulal breathing
  • treatment of  metabolic acidosis :- 1-trt dehydration. 2-improve kidney perfusion 3-by 1,2, kidney start to reabsorb the bicarbonate. 4-if NOT! investigate the kidney function. 
  • Maintance Fluid Therapy
  • FLUID TO MAINTANCE WITHOUT DEHYDRATION UNCONSCIOUS CHILD. unable to drink /eat for several reasonces
  • Holiday -Segar Formula For maintance Fluid Requirement
  • Child more than 21 kg
  • Child 20 kg
  •  Child 10 kg 
  • 100 kcal /kg=100ml/kg
  • 1000 +50 kcal  X kg >10 kg
  • 1500 +20kcal/kg  X kg >20Kg
  • e.g.25 kg  1500 +(20X5)=1600 
  • e.g. 15kg  1000+(50X5)=1250
  • Caloric expeniture
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