Correction of Dehydration Moderate to severe dehydration: IV push 10-20 cc / Kg Normal saline (5 % albumin). Half deficit over 8 hours, and half over 16 hours.
Nursing Intervention 1. Assessment 2. History 3. Clinical observation 4. Intake & output measurement 5. Replace orally or IVF ( 1g wet diaper wt =1 ml urine )
Disturbance of F&E balance 1. Na 2. K 3. Ca ( Na is the primary osmatic farce ) Serum Osmolality Defined as the number of particles per liter. May be approximated by: 2(Na) + Glucose (mg/dl)/18 + BUN(mg/dl)/2.8 Normal range: 275-295 mOsm/L.
Type of Crystalloid Fluids 1. Isotonic 2. Hypotonic 3. Hypertonic
Types of I.V solutions Solutions are three types - Isotonic it's total osmolality (TO) = TO of blood - Hypotonic: It's TO TO of blood - Hypertonic: it's TO TO of blood. * Electrolyte solutions considered isotonic If total electrolyte content (TEC) 310mEq/L. and hypotonic if TEC 250 meq/L and hypertonic if TEC 375 Meq/L