Discussion Forum for Nursing Care of Clients with Imbalances in Fluid, Electrolyte, and Acid-base

Discussion Forum for Nursing Care of Clients with Imbalances in Fluid, Electrolyte, and Acid-base

Discussion Forum for Nursing Care of Clients with Imbalances in Fluid, Electrolyte, and Acid-base

by APRILLE BANAYAT -
Number of replies: 2

Note: This is for clarifications and questions only. This is not a required activity for those who are vying for exemption for the final exams.

In reply to APRILLE BANAYAT

Re: Lecture 4: Fluid and Electrolyte and Acid-base (Pediatric Patients in Focus) (Asst. Prof. Banayat)

by APRILLE BANAYAT -
Private Question # 1: For calculating intravenous fluid needs, do we add together the calculated maintenance fluids and replacement fluids? For example, if I calculate 1250 mL / 24 hours for maintenance fluid and 1950 mL / 24 hours for replacement fluid, do I have to administer a total of 3200 mL in 24 hours?
ANSWER: Yes, but since this is a fairly high amount, make sure to monitor for possible early s/sx of fluid overload (ie. rales)
In reply to APRILLE BANAYAT

Re: Lecture 4: Fluid and Electrolyte and Acid-base (Pediatric Patients in Focus) (Asst. Prof. Banayat)

by APRILLE BANAYAT -
Private Question #2: In slide 32, the heading says "Intracellular Fluid Volume Excess (Edema)." Should this not be "Interstitial Fluid Volume Excess (Edema)" since interstitial fluid is not intracellular fluid?

Yes, this is a typographical error. Thank you for the catch! Previous slides indicate interstitial fluid volume excess. Interstitital fluid excess is more common for the template cases discussed in the slides.