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Beverly "BJ" Miller, RN, MSN, CNS
Beverly "BJ" Miller, RN, MSN, CNS

Fluid and Electrolyte Balanace in Neonates

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Fluids, Electrolyte, and Nutrition Management in Neonates Beverly J Miller, RN, MSN, CNS, NNP WakeMed Health and Hospitals North Healthplex Raleigh, NC August 2009
FEN Management in Neonates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why is FEN management important? ,[object Object],[object Object],[object Object],[object Object]
Fluids and Electrolytes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Things to consider: Normal changes in TBW, ECF ,[object Object],[object Object],[object Object],[object Object]
Things to consider: Normal changes in Renal Function ,[object Object],[object Object],[object Object],[object Object],[object Object]
Things to consider: Insensible water loss (IWL) ,[object Object],[object Object],[object Object],[object Object]
Assessment of fluid and electrolyte status ,[object Object],[object Object],[object Object]
Assessment of fluid and electrolyte status (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment of fluid and electrolyte status (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of F&E ,[object Object],[object Object]
Management of F&E (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of F&E (contd.) ,[object Object]
Management of F&E (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Let there be lytes! ,[object Object],[object Object],[object Object],[object Object]
F&E in common neonatal conditions ,[object Object],[object Object],[object Object],[object Object]
Common ‘lyte problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sodium stuff : Hyponatremia ,[object Object]
Sodium stuff : Hypernatremia ,[object Object],[object Object]
Potassium stuff ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypo- and Hyper-K ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of Hyperkalemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Calcium stuff ,[object Object],[object Object],[object Object],[object Object]
Things we aren’t going to discuss (i.e.) homework: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common fluid problems ,[object Object],[object Object],[object Object]
Nutrition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Energy { E = mc 2 } ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E=energy required m =mass of baby c = cry loudness
Energy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Calculations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Calculations: practical hints for TPN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carbohydrate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carbohydrate ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fat ,[object Object],[object Object],[object Object],[object Object]
Protein ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Minerals (other than Na,K, Cl) ,[object Object],[object Object],[object Object],[object Object]
Vitamins ,[object Object],[object Object],[object Object],[object Object],[object Object]
Trace elements ,[object Object],[object Object],[object Object]
Special formula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Special formula (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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FEN

  • 1. Fluids, Electrolyte, and Nutrition Management in Neonates Beverly J Miller, RN, MSN, CNS, NNP WakeMed Health and Hospitals North Healthplex Raleigh, NC August 2009
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