NSG 3107 Lecture Notes - Lecture 4: Intravenous Sugar Solution, Hyponatremia, Encopresis
Document Summary
Class 4: care of infant, child and adolescent experiencing gi dysfunction. Pediatric assessment triangle: used as method of quickly determining the acuity of the child and can determine whether the child is in respiratory distress, respiratory failure or shock. Look, listen and smell: role of peds nurse. Look for the pediatric assessment triangle criteria, observe emesis, stool, urine. Smells common with infants and children and can point out soiling, infection, hygiene. Weight loss at any age, but particularly in infants (bile will not be green as it usually is) In infants, yellow vomit, due to immature bile ducts. Motility disorders: dehydration: output greater than intake. Water and sodium lost in approximately equal volumes. Shock is the greatest threat to life with this form: hypotonic dehydration: (hyponatremic); leaves the serum hypotonic due to decreased sodium levels. Icf is more concentrated than ecf, causing water flow to travel from ecf icf.