Practice Quiz

CCRN Critical Care Nursing

Category - Neonatal

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An intravenous fluid treatment of 0.9 % normal saline has been ordered for an infant that presented to the emergency department with slight tachycardia, significant decrease in urination, absence of tears when crying and dry mucous membranes. The emergency room physician has diagnosed the infant with hypovolemic shock. In order to correct the problem over a 24 hour period, how much of the lost fluids can be replaced in the first 8 hours?
  1. ½ of the lost fluid can be replaced
  2. ¼ of the lost fluid can be replaced
  3. ¾ of the lost fluid can be replaced
  4. All of the lost fluid can be replaced
Explanation
Answer: A - In an infant in hypovolemic shock whom requires intravenous fluid treatment over a 24 hour period ½ of the lost fluid can be replaced in the first 8 hours. This is because sodium levels should only rise by 0.5meq/L/hr to prevent seizures.
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