This question is not related to the case study – it is a med math question.
A child weighing 57.5 pounds is admitted to the hospital the day prior to surgery. She is
NPO and needs an IV for fluid maintenance.
What is this child’s total daily maintenance fluid requirements (Round to a whole
number). Do not round until your last step in the equation. Only enter the number (not a
unit of measurement).
Daily maintenance fluid calculation formula:
100mL/kg First 10 kg
50ml/kg Second 10kg
20mL/kg Reminder of weight
Total intake in mL =
Dehydration Case Study
Tram Meng, a 7-month-old Vietnamese American male was brought to the emergency
department by his mother. She reports that he has been lethargic and has refused to eat for the
past 24 hours. Upon assessment, the nurse notes that Tram appears small for his age.
1. Which assessment findings would lead the nurse to believe that Tram is moderately
dehydrated?
a. Rectal temp of 99F, HR 120, RR 28
b. Cap refill of 4 seconds, dry mucous membranes and HR of 160
c. Warm to the touch skin, temperature of 100F and BP 100/60
d. Two wet diapers within the past 8 hours, +3 edema of feed and RR of 30
2. In order to obtain more information about his current status, which question(s) are a
priority for the nurse to ask the mother (select all that apply)
a. “How many wet diapers does Tram normally have in one day?”
b. “Does Tram have any siblings?”
c. “Have you offered Tram fluids other than formula?” d
d. “What was Tram’s last weight?”
e. “Has Tram completed all his immunizations”?
f. “For how many hours does Tram normal sleep each day?”
3. After talking with Tram's mother, the nurse learns that Tram weighed 7.7lbs at birth. His
last weight in the office was 16lbs. His current weight is 14lbs. The health care provider
(HCP) prescribes IV re-hydration, urinalysis, chemistries, and CBC.
A child weighing 57.5 pounds is admitted to the hospital the day prior to surgery. She is
NPO and needs an IV for fluid maintenance.
What is this child’s total daily maintenance fluid requirements (Round to a whole
number). Do not round until your last step in the equation. Only enter the number (not a
unit of measurement).
Daily maintenance fluid calculation formula:
100mL/kg First 10 kg
50ml/kg Second 10kg
20mL/kg Reminder of weight
Total intake in mL =
Dehydration Case Study
Tram Meng, a 7-month-old Vietnamese American male was brought to the emergency
department by his mother. She reports that he has been lethargic and has refused to eat for the
past 24 hours. Upon assessment, the nurse notes that Tram appears small for his age.
1. Which assessment findings would lead the nurse to believe that Tram is moderately
dehydrated?
a. Rectal temp of 99F, HR 120, RR 28
b. Cap refill of 4 seconds, dry mucous membranes and HR of 160
c. Warm to the touch skin, temperature of 100F and BP 100/60
d. Two wet diapers within the past 8 hours, +3 edema of feed and RR of 30
2. In order to obtain more information about his current status, which question(s) are a
priority for the nurse to ask the mother (select all that apply)
a. “How many wet diapers does Tram normally have in one day?”
b. “Does Tram have any siblings?”
c. “Have you offered Tram fluids other than formula?” d
d. “What was Tram’s last weight?”
e. “Has Tram completed all his immunizations”?
f. “For how many hours does Tram normal sleep each day?”
3. After talking with Tram's mother, the nurse learns that Tram weighed 7.7lbs at birth. His
last weight in the office was 16lbs. His current weight is 14lbs. The health care provider
(HCP) prescribes IV re-hydration, urinalysis, chemistries, and CBC.
