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Unformatted text preview: ater, because the cold water can cause shivering, which increases metabolic requirements above those
already caused by the fever. Aspirin is not administered to a child with fever because of the risk of Reye¶s syndrome. Fluids
should be encouraged to prevent dehydration, so oral fluids should not be withheld.
127. Fluid Volume Deficit
Indicators that fluid volume deficit is resolving would be capillary refill less than 3 seconds, specific
gravity of 1.002 to 1.025, urine output of at least 1 mL/kg/hour, and adequate tear production. Therefore, a capillary refill time
shorter than 3 seconds is the only indicator that the child is improving. Urine output of less than 1 mL/kg/hr, a specific gravity of
1.030 and no tears would indicate that the deficit is not resolving.
128. Diabetes Hypoglycemia is defined as a blood glucose level lower than 70 mg/dL. Hypoglycemia occurs as a result of too much
insulin, not enough food, or excessive activity. If possible, the nurse should confirm hypoglycemia with a blood glucose reading.
Glucose is administered orally immediately...
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- Spring '14