Curriculum Competencies and Objectives
PREFACE | PROFESSIONAL
CONDUCT AND ATTITUDES | SKILLS
DEVELOPMENT | BEHAVIOR
UNIQUE TO ADOLESCENCE |
ISSUES UNIQUE TO THE NEWBORN |
MEDICAL GENETICS AND DYSMORPHOLOGY | COMMON
ACUTE PEDIATIC ILLNESS |
COMMON CHRONIC ILLNESS AND DISABILITY | THERAPEUTICS
FLUID AND ELECTROLYTE MANAGEMENT | POISONING
PEDIATRIC EMERGENCIES | CHILD
ABUSE | CHILD
ADVOCACY | COMMON PEDIATRIC ILLNESS TABLE
CLINICAL ENCOUNTER TABLE | DIAGNOSIS LIST | CURRICULUM DEVELOPMENT PARTICIPANTS
FLUID AND ELECTROLYTE MANAGEMENT
All human beings need an uninterrupted supply of water, electrolytes,
and energy. Excessive or diminished fluid intake or losses may lead
to severe physiologic derangements, with significant morbidity and
Knowledge of the following:
- Water and electrolyte distribution in body compartments.
- The relationship between basal metabolic rate and daily water
- Daily glucose requirements.
- The role of the adrenal gland and antidiuretic hormone (ADH)
in maintaining serum sodium and body water balance.
- Pathophysiology of hypernatremic and hyponatremic dehydration.
- Describe the conditions in which fluid administration may need
to be restricted (such as the syndrome of inappropriate ADH secretion,
congestive heart failure, or renal failure) or increased (e.g.
- Describe the physical findings in hypovolemic shock and the
approach to restoration of circulating fluid volume (i.e. "rescue"
fluid infusion) (U)
- Describe the causes and consequences of fluid imbalances and
electrolyte disturbances leading to dehydration and such conditions
as hypernatremia, hyponatremia, hyperkalemia, hypokalemia, and
severe acidosis. (U)
- Obtain historical and physical finding information necessary
to assess the hydration status of a child. (CP)
- Calculate and write orders for intravenous maintenance fluids
for a child considering daily water and electrolyte requirements.
- Calculate and write orders for the fluid therapy for a child
with severe dehydration caused by gastroenteritis to include "rescue"
fluid to replenish circulating volume, deficit fluid, and ongoing
- Explain to parents how to use oral rehydration therapy for
mild to moderate dehydration. (CP)
here to link to the COMSEP Clinical Cases.