A child is being treated for dehydration with intravenous fluids. ...

[tfester]

A child is being treated for dehydration with intravenous fluids. The child currently weighs 13 kg and is estimated to have lost 7 of his normal body weight. The nurse is double-checking the IV rate the healthcare provider prescribed. The formula the healthcare provider used was for maintenance fluids: 1000 mL for 10 kg of body weight plus 50 mL for every kilogram over 10 for 24 hours. Replacement fluid is the percentage of lost body weight  10 per kg of body weight. According to the calculation for maintenance plus replacement fluid, which hourly IV rate will the nurse implement for 24 hours?
 
  1. 88 mL/hr
  2. 86 mL/hr
  3. 81 mL/hr
  4. 83 mL/hr

Question 2

The nurse is completing the intake and output record for a child admitted for fluid volume deficit. The child has had the following intake and output during the shift: Intake: 4 oz of Pedialyte One-half of an 8-oz cup of clear orange Jell-O Two graham crackers 200 mL of D51/2 sodium chloride IV Output: 345 mL of urine 50 mL of loose stool How many milliliters should the nurse document as the client's total intake? Give the numerical answer only. Do not include any units of measurement.
 
  What will be an ideal response?

[katheyjon]

Answer to Question 1

2
Explanation:
1. Maintenance need for 13 kg is 1000 + (50  3), or 1150 mL/24 hours. Add to this the replacement fluid loss = 7 ( of total body weight lost)  10 = 70 mL/kg/24 hours (70  13 = 910). 1,150 + 910 = 2060 for 24 hours. 2060/24 = 86 mL per hour.
2. Maintenance need for 13 kg is 1000 + (50  3), or 1150 mL/24 hours. Add to this the replacement fluid loss = 7 ( of total body weight lost)  10 = 70 mL/kg/24 hours (70  13 = 910). 1150 + 910 = 2060 for 24 hours. 2060/24 = 86 mL per hour.
3. Maintenance need for 13 kg is 1000 + (50  3), or 1150 mL/24 hours. Add to this the replacement fluid loss = 7 ( of total body weight lost)  10 = 70 mL/kg/24 hours (70  13 = 910). 1150 + 910 = 2060 for 24 hours. 2060/24 = 86 mL per hour.
4. Maintenance need for 13 kg is 1000 + (50  3), or 1150 mL/24 hours. Add to this the replacement fluid loss = 7 ( of total body weight lost)  10 = 70 mL/kg/24 hours (70  13 = 910). 1150 + 910 = 2060 for 24 hours. 2060/24 = 86 mL per hour.

Answer to Question 2

440 mL
Explanation:
1 . The child takes in 120 mL of Pedialyte and 120 mL of Jell-O for a total of 240 mL. With 200 mL of IV fluids, the total intake is 440 mL.