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1. #Does a cc check electrolytes serial
2. #Does a cc check electrolytes full

#Does a cc check electrolytes serial

Serial clinical assessment of hydration status must be made at regular invervals for all children with dehydration.Replace the 5% deficit in the first 24 hours and the remainder over the following 24 hours For children with >5% dehydration, replace deficit more slowly.For children with ≤5% dehydration, replace deficit in the first 24 hours.If a pre-morbid weight is not available, use: Deficit (mL) = weight (kg) x % dehydration x 10 The most accurate way to calculate a child's fluid deficit is: Deficit (mL) = x 1000 Total fluid requirement = Maintenance + Replacement of deficit + Replacement of ongoing losses IV fluid rehydration may be required for children with severe dehydration or those who cannot tolerate enteral intake For children with mild or moderate dehydration, enteral (oral or NG) rehydration is preferable. Give a bolus of 10–20 mL/kg of sodium chloride 0.9% as fast as possible, and reassess to determine if additional IV fluid is requiredĭo not include this fluid volume in subsequent calculationsĪlternative resuscitation fluids such as Plasma-Lyte 148, Hartmann's, packed red blood cells, or albumin may sometimes be used on senior advice Rehydrationĭegree of dehydration must first be calculated. Treat shock with bolus IV fluids to restore circulatory volume: Resuscitation: Care of the seriously unwell child Also document intake/inputs and ongoing losses (including urine output), with at least 12 hourly subtotals Repeated weights are the best measure of fluid status.For more unwell children and children with large fluid losses or abnormal electrolytes, check the electrolytes and glucose 4-6 hours after starting fluid therapy, and then according to the clinical situation.All children should have serum electrolytes and glucose checked before starting IV fluid treatment and at least every 24 hours if IV fluids are continued at more than 50% maintenance.Children with severe dehydration or ongoing losses need to be weighed more often.All children on IV fluids should be weighed at the start of treatment and then at least daily.Signs of fluid overload including oedema (eg periorbital, genital, sacral, peripheral) should also be evaluated, especially in children already receiving IV fluid treatment.Situations where specialised fluid management is required (see list above).Short gut or other significant gastrointestinal pathology.Consider increased antidiuretic hormone (ADH) secretion - especially with acute CNS and pulmonary conditions, although any unwell child is at risk.Hypernatraemia and notify senior clinician Check the compatibility of IV fluid with any IV drugs that are being co-administeredġ45 mmol/L (or significant change of >0.5 mmol/L/hr on a repeat measure) – see.See flowchart outlining approach to safe IV fluid prescription Safe use of IV fluid in children requires careful prescribing and monitoring.Fluids with a similar sodium concentration to plasma are most appropriate.Whenever possible the enteral route should be used This guideline only applies to children aged 1 month to 18 years who cannot receive enteral fluids.Serial weights are the best measure of acute changes in fluid status.

#Does a cc check electrolytes full

Most sick children will retain water and require less than full maintenance fluids.