Universidad del Valle de Mexico

Licenciatura en Medicina
7mo.Semestre

PEDIATRIA
Ejercicios Fluidos y Electrolitos

Dr. Marco Vinicio Montejano Reynaga

Alumno: Paulina Juárez Rascón

Fecha de entrega 22/08/2020

San Luis Potosí, San Luis Potosí
 Ejercicio 1
LsPs ( HS/50/40/40/100/100
Niño de 27 Kg, SG 10%, SF 0,95 , KCL 1:4
MgSO4 ( 1ml =100 mg):
HS -27kg = 1640p24hrs /3 =546,6p8Hrs /8 =68,3p/hr 100 * 27kg =2700mg * 1 ml / 100 mg = 27 ml p/24hrs / 3 = 9 ml p/ 8hrs
SC – (27*4*7)/27+90=115/117= 0.98m2
SG 10%- ( 10grs = 100 ml) : 0,98m2 * 50= 49grs *100/10=490 ml p24hrs AE = 546,6-269,3 = 277,24 ml
490ml / 3 = 163,3 ml p 8hrs
SF 0,95% - ( 100 ml = 15,4mEq): SG 10% ….163,3
0,98m2 *40=39,2mEq *100 /15,4=254,5ml SF 0,9….84,8
254.5mlp24hrs / 3 = 84,8 ml p 8hrs KCl (1 : 4)….3,26 ml
KCl – ( 1ml=4mEq) : Gluconato de Ca ….9 ml
0,98m2 * 40 =39,2 mEq * 1ml / 4 mEq = 9,8ml p24hrs / 3 = 3,26 ml p/8 hrs MgSO4 ….9 ml
Gluconato de Ca – ( 1 ml = 100 mg)
100 * 27kg = 2700 mg * 1 ml / 100 mg = 27ml p /24hrs / 3 = 9 ml p / 8 hrs
 Ejercicio 2
LsPs ( 130/6/5/4/200/100
Niño de 7Kg, SG 5%, SF 0,95 , KCL 1:4 KCl ( 1: 2)
4*7=28 mEq * 1 ml / 2 eq = 14ml p 24hrs/ 3 = 4,6ml p 8hrs
LsPs GluCa
130 * 7 * = 910 ml p 24 hrs , 303,3 ml p/8hrs , 37.9ml p /hr 200*7=1400
SG 5% 1400*1 ml / 100 = 14ml p 24 hrs / 3 = 4,6 ml
7*6*1440/100 =60,48 MgSO4
5gr = 100 ml 100*7= 700
60,48 =1209.3 / 3 = 403,2 ml p /8hrs 700*1 ml /100 = 7 ml p24hrs / 3 = 2,3ml p8hrs
SG 10%
10gr = 100 ml AE = 30,3-216,9 =86,4 p 8hrs
60,48=604,8 / 3 = 201,6 p / 8hrs
Conc Na. ( 1: 3 )
7*5=35mEq * 1 ml / 3 = 11,6 p24hrs / 3 = 3,8 ml p8hr
se hizo un cambio de SG ya que con el 5% excedía , asi que se utilizo
una mayor concentración , yo utilice 10%