QuestionQA
QuestionComment
nice
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Roshimitsu
QuestionComment
rounding up got me

37959
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Daddy Listeria
QuestionComment
My answer: 69. Correct answer: 66. Answer in the description: 69. Make it make sense quesmed
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Vitamin Deeznutz
QuestionComment
NICE guideline for maintenance fluids states: 'Consider delivering IV fluids for routine maintenance during daytime hours to promote sleep and wellbeing'

Sorry Quesmed for trying to be nice to my patient and letting them sleep 😤
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Dan 
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

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2865
Calculation of infusion rate
Topic
91
Paediatrics
The total daily requirement of maintenance fluids for a paediatric patient is as follows:

- 1st 10kg = 100ml/kg/day = 1000mL
- 2nd 10kg = 50ml/kg/day = 500mL
- Remaining = 20ml/kg/day = 8kg x 20ml/kg/day = 160mL

The total is 1660mL a day. Hence, the rate in mL per hour is: 1660mL ÷ 24 hours = 69.2mL/hour ≈ 69mL/hour.
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QuestionQAAnswer
69
mL per hour
A 8-year-old patient who weighs 28kg requires maintenance fluids. He is prescribed 0.9% sodium chloride intravenously. What is the rate (in mL per hour) of 0.9% sodium chloride he is to be given? Round off your answer to the nearest mL per hour.

