Nursing 2230A/B Lecture Notes - Lecture 9: Hypocalcaemia, Pallor, Calcium Gluconate
17 Dec 2016
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Oral replacement of fluids and electrolytes is appropriate as long as the patient is not so physiologically compromised that oral fluids cannot be replaced rapidly. Patients unable to tolerate solid foods may still be able to ingest fluids. Oral rehydration solutions (ors) have had a very positive impact on mortality related to diarrhea arounf the world. Ors are either glucose- electrolyte solutions or polymer-based solutions (more effective). You may want to offer small sips of fluid, ice pops, and ice chips. Oral rehydration is good with children with gastroenteritis. It is contraindicatied if the patient has mechanical obstruction of the gastrointestinal tract, is at risk for aspiration, or has impaired swallowing. A feeding tube may be necessary is the patient cant swallow. Patients who retain fluids and have fluid volume excess (fve) require restricted fluid intake. Patients need to understand that ice chips, gelatin, and ice cream are considered fluid.
