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December 28, 2017 | Author: Carlos H. Acuña | Category: Renal Function, Chronic Kidney Disease, Diabetes Mellitus, Creatinine, Clinical Medicine
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ARTERIAL BLOOD GAS Acidosis Alkalosis

pH pCO2 pO2 HCO3 BE O2 sat

ph7.45

Respiratory Acidosis Respiratory Alkalosis Metabolic Acidosis Metabolic Alkalosis Hypoxemia pO2 45 pCO2 6 months (Kg) 2 – 6 years old (Kg) 6-12 years old (lbs)

3kg (Filipino) or 3.25kg (Caucasian) Age in months x 600 + birth weight Age in months x 500 + birth weight Age in years x 2 + 8 Age in years x 7 + 5

AGE OF INFANT 4-5 months 1 year old 2 years old 3 years old 5 years old 7 years old 10 years old

IDEAL WEIGHT 2 x birth weight 3 x birth weight 4 x birth weight 5 x birth weight 6 x birth weight 7 x birth weight 10 z birth weight

AGE Preterm 0-3 months 3-6 months 6mons -1 y/o 1-3 y/o 3-6 y/o 6-12 y/o 12 y/o

HR 120-170 100-150 90-120 80-120 70-110 65-110 60-95 55-85

RR 40-70 35-55 30-45 25-40 20-30 20-25 14-22 12-18

BP 55-75/40-70 65-85 / 45-55 70-90 / 50-65 80-100 / 55-65 90-105 / 55-70 95-110 / 60-75 100-120 / 60-75 100-135 / 65-85

1

ENDOTRACHEAL TUBE SIZE ET Size = age in years +4 4 Size in mm= 16 + age in years /4 ET Level= ET size x 3 OR Add 6 to infant’s weight Weight 3000 NB Infant 1 year 3years 6years 10years Adolescent Adult

Gesta age 38

Tube size 2.5 3.0 3.5 3.5-4.0 3.0-3.5 3.5-4.0 4.0-4.5 4.5-5.0 5.0-5.5 6.0-6.5 7.0-7.5 7.5-8.0

Plan B Weight (Kg) x 75mL to be given in 4 hours Plan C Age 12 months

15 Kg Mild

30cc/kg st 1 hour 30 minute

70cc/kg 5 hours 2 ½ hours

ORAL REHYDRATION SOLUTIONS Na Cl K WHO/ DOH 90 80 20 Pedialyte 45 45 35 20 Oreges (250mL) 90 80 20 Hydrite (2/200) 90 80 20 Glucolyte (per L) 63 50 20 Formulated ORS 50 50 20 Reformulated ORS 75 65 20

Ludans: hydration LUDAN’S HYDRATION MILD MODERATE 50 100 30 60

WHO Hydration Plan A 10 year old Ad libitum

SEVERE 150 90

Wt x factor (50 or 30) = _ugtts/min D5 0.3 NaCl 6 or 8 hours Moderate Wt x Factor (100 or 60) = _cc 1st hour: 1/4 (PNSS or PLR) to run for 1 hour Next 7hours: 3/4 (D50.3NaCl) to run for 7 hours Severe Wt x Factor (150 or 90) = _cc st

1 hour: 1/3 (PNSS or PLR) to run for 1 hour Next 7hours: 2/3 (PNSS or PLR) to run for 7 hours IVF Use PLR if with UO, PNSS if without UO Use D5.03 if 0-7 years old, D5LR if 8-10 years old

HOLIDAY SEGAR 100 x Weight 24hours >10Kg: Weight -10 x 50 + 1000 24 hours >20Kg: Weight-20 x20 + 1500 24 hours

Glucose 111 140 111 111 126.53 20 75

TOTAL FLUID REQUIREMENTS (TFR) 0-1 150 mkD 1-3 140 mkD 4-6 120 mkD 7-9 100 mkD 10-12 90 mkD 13-15 70 mkD 16-17 50 mkD BSA 0-5 wt x .05+ .05 6-10 wt x .04+ .1 10-20 wt x .03+ .2 20-40 wt x .02+ .4 > 40 wt x .01+ .8 Hema/Endo: Square root of wt x ht 3600 FLUID LIMITATION ER: BSA X 500 Wards: BSA X 400 + ½ UO in 24hrs

2.5kg) LBW (
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