Shock 7, Dehydration in children
May 10, 2013
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9:44Now PlayingShock 7, Dehydration in children
YouTube Description
as posted by the channelThis is the 7th of 14 sections posted on YouTube. Together they form a complete three hour lecture series on shock. This lecture is designed for students of nursing, medicine and related disciplines. The aim is to understand the physiology and pathophysiology, so we can apply these principles to patient care.
Diarrhoea and Vomiting in Children
Continue breast feeding
Encourage fluid intake
No fizzy drinks or fruit juice
Oral Rehydration Salts
Consider nasogastric ORS
IVIs for shock or deterioration
Eg. 0.9% saline or saline with 5% glucose
Check Na, K, urea, creatinine, glucose
After rehydration give normal food and milk
Shock and children
Childs blood volume 80ml / Kg
6 months - 500 mls of blood
1 year - 750 mls
2 years -- 1 litre
10 years - 2 litres
Children are able to compensate extensively
No progressive development of hypotension
Once blood volumes drop to a certain level death ensues rapidly
Young adults are much better compensators than older adults
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