Nursing 3910A/B Chapter Notes - Chapter 2: Fluid Replacement, Sputum, Lightheadedness
7 Nov 2017
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Fluid and electrolyte balance: shock and acid base balance. Ateah: d. scott, s. s. ricci, t. kyle. In children, cardiac output only depends on hr and not sv because they have a smaller sv compared to adults: circulatory compromise and compensated shock in infants and children . Hr is increased: neonates may have bradycardia rather than tachycardia, afterload/svr- the impediment to the heats ventricular ejection, increase svr will result in a decrease in blood flow unless the ventricular pressure increases. Increased vascular resistance is a common problem in shock. Types of shock: four types, hypovolemic, distributive, cardiogenic. Nursing assessment: for a child, health history, physical exam, laboratory and diagnostic testing. Health history: based on the child"s presentation, require emergent intervention. 4: assess hydration and skin turgor, decreased elasticity is associated with hypovolemic states, but is usually a late sign, assess level of consciousness and pupillary response, look for blood loss, assess abdomen for redness, discolouration, or distension.
