Practice Question
Which of the following is an appropriate consideration for pediatric fluid replacement?
Answer Choices:
Correct Answer:
Adjusting fluid replacement based on weight and age.
Rationale:
⚖️ Pediatric fluid replacement must be calculated based on body weight (in kilograms) and sometimes adjusted further based on age or developmental needs.
⚖️ Children have a higher metabolic rate and larger extracellular fluid volume per kilogram than adults, making them more vulnerable to rapid fluid loss and electrolyte imbalance.
⚖️ The 100-50-20 rule is often used to calculate daily fluid maintenance: 100 mL/kg for the first 10 kg, 50 mL/kg for the next 10 kg, and 20 mL/kg for each kg over 20.
⚖️ Using adult guidelines or over-replacing fluids in children may result in fluid overload, hyponatremia, or heart strain.
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This question is from RN ATI Pediatrics Exam II which contains 33 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4