Pre-op teaching for infants
tell them as close to the surgery as possible to avoid undue anxiety
Pre-op teaching for pre-school
inform 1-2 days before surgery
Pre-op teaching for school age
3-5 days before surgery
Pre-op teaching for adolescents
7-10 days beforehand with detailed explanations
fluid maintenance calculation
100 mL/kg for the fist 10kg
50mL/kg for the next 10kg
20mL/kg remaining kg
recommended dose range for acetaminophen
Mild dehydration symptoms (7)
-alert
-Fontanelle soft and flat
-pink and moist mucosa
-elastic skin turgor
-normal HR & BP
-warm, warm, pink, brisk cab refill, in extremities
-possible decreased urine output
Moderate dehydration symptoms (9)
-alert to listless
-Sunken fontenels
-eye orbits mild sunken
-Pale and dry oral mucosa
-Decreased skin turgor
-increased HR possibly
-normal BP
-delayed cap refill
-urine output <1 mL/kg/day
Severe dehydration symptoms (9)
-alert to comatose
-Sunken fontanels
-deep sunken orbits
-dry, mucosa
-tenting
- increased HR -going to bradycardia
-BP going to hypotension
-Cool extremities, delayed cap refill
-urine output <1mL/kg/day