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15183302
types of dehydration
Description
SELFY Flowchart on types of dehydration, created by Ali Almudarsy on 19/09/2018.
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selfy
Flowchart by
Ali Almudarsy
, updated more than 1 year ago
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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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