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Pediatric Case: Endocrine Disorder (Nursing)

by Amy Howells, PhD, CPNP-AC/PC

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    00:00 Now, it's your turn to practice. Let's say you have a patient that weighs 24 kilos and the healthcare provider, after all of the boluses have been done, determines that you're going to be running the fluids at 108 ml an hour. I'd like you to take this opportunity to refer to your downloadable materials so that you can remember the percentages for your bag 1 and bag 2 of your fluids and then fill out this table. It gives you the blood sugars and you'll need to determine how much you're going to be running your bag 1 and your bag 2. So why don't you pause and do that now? Now, how would you break that down for different glucose categories? If your blood sugar was 412, what is going to be the rate of the normal saline and what is going to be the rate of the D10? If the blood sugar is 276, what's going to be the rate of the normal saline and what is going to be the rate of the D10 normal saline? If the blood sugar is 226, what is going to be the rate of the normal saline? What is going to be the rate of the D10 normal saline? If the blood sugar is 172, what is going to be the rate of the normal saline and what is going to be the rate of the D10 normal saline? If the blood sugar is 138, what will be the rate of the normal saline and what will be the rate of the D10 normal saline? Now, let's check your answers. So, if the blood sugar was 412, did you get 108 ml/hour for the normal saline and 0 ml/hour for the D10 normal saline? If so, great job. For blood sugar of 276, did you get a rate of 81 for the normal saline and a rate of 27 for the D10 normal saline? Awesome. For a blood sugar of 226, did you get 54 for both the normal saline and the D10 normal saline? Great. For a blood sugar of 172, did you get 27 for normal saline and 81 for the D10 normal saline? Fantastic. And finally, if the blood sugar is 136, did you get 0 for the normal saline and 108 for the D10 normal saline? Perfect.


    About the Lecture

    The lecture Pediatric Case: Endocrine Disorder (Nursing) by Amy Howells, PhD, CPNP-AC/PC is from the course Endocrine Disorders – Pediatric Nursing.


    Author of lecture Pediatric Case: Endocrine Disorder (Nursing)

     Amy Howells, PhD, CPNP-AC/PC

    Amy Howells, PhD, CPNP-AC/PC


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