CCRN Critical Care Nursing

Category - Pediatrics

When assessing the fluid and electrolyte balance in an infant, which of the following would be important to remember:
  1. Infant has greater body surface area than adults
  2. Infants have more intracellular water that adult do
  3. The metabolic rate of an infant is slower than in adults
  4. Infant can concentrate urine at an adult level
Explanation
Answer: A - Infants have greater body surface area than adult, increasing their risk to F&E imbalances. Also infants can’t concentrate a urine at an adult level and their metabolic rate, also called water turnover, is 2 to 3 times higher than adult. Plus more fluids of the infants are at the ECF spaces not in the ICF spaces.
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