1. Dehydration
7/14/05

2. Dehydration Signs of dehydration Skin Mucous membranes Dec. tearing
Urinary output
Fontanel
Pulse, respirations, temperature
Blood pressure, capillary refill

3. Water imbalances in Infants
Greater fluid intake and output in relation to size.
Larger proportion of ECF
Larger body surface
Higher metabolic rate
Immature kidney function

4. Nursing Management-Diarrhea
PREVENT SPREAD
Assessment:
skin
vital signs
weight
fontanels
accurate output (weigh diapers)
Replace fluids (ORF, IV fluids)
Replace electrolytes. (NA+, K+)
Skin Care
Sensory alterations

5. Mild to Moderate Diarrhea
Identify signs of moderate diarrhea
(<8% weight loss)
oral rehydrating therapy (ORT) first, IVF if ORT does not work
After rehydrating restart other fluids with ORT
Older child can continue regular diet with ORT

6. Severe Diarrhea
Identify signs of severe diarrhea (10% more weight loss)
Immediate IV fluids to rehydrate
Must replace losses and keep up with continued losses
Electrolyte correction
Treat the cause of diarrhea if possible