Provide a rationale for the intravenous fluid regime you would recommend for the initial 24hrs of treatment for the child with DKA ensure you use related fluid and electrolyte physiology to justify your response Serum potassium level may be normal in the child with DKA, while whole body potassium is depleted.

The purpose of both assessments 3a and 3b is to facilitate your understanding of the theoretical aspects of caring for acutely ill children using your reading resources and working in synergy with your learning guide. 2000 words 10% Weighting 40% Question 1 (1000 words) On completion of Theme 6 you will be familiar with common neurological presentations in paediatrics. For this question you are asked to choose a neurological condition that may be appropriate to your context of nursing acute head injury (PICU). The purpose of this assessment is to give you the opportunity to explore and discuss your chosen neurological condition, thereby demonstrating your understanding of the topics covered in theme 6. Having chosen an appropriate neurological condition, you will write an 1100 word referenced short essay addressing the following points; a. define the condition, include a discussion of the related pathophysiology b. describe the presenting signs and symptoms focusing on the neurological features c. rationalise the acute and ongoing medical treatment for this condition, d. and, discuss the nurses role in providing care and support for the child and family, Use current literature, including available clinical practice guidelines, to support your discussion. Question 2 (1000 words) Subsequent to reading Theme 7 you would be aware that Diabetic Ketoacidosis (DKA) is an acute illness that occurs as a result of complex pathophysiology. The aim of the next short essay question is to explore features of this condition. Progressive cerebral oedema is a significant complication of DKA in children, and may be related to fluid therapy, both fluid type and regime; a. b. Explain how osmotic diuresis occurs in DKA c. Discuss how it affects potassium movement within the body An Insulin infusion is an integral part of the treatment of DKA; d. Explain the role of insulin in correcting hyperkalaemia in DKA e. Outline the important nursing responsibilities when caring for a child with an insulin infusion? Use literature to support your discussion. Assessment 3a: Concept map Weighting 10% In this assessment you are asked consider the condition of Dilated Cardiomyopathy (DCM) in children, and how all aspects of life will be affected for the child and family, by this illness. Your mind/concept map must include at least 3 – 4 layers of concepts surrounding your core concept and can be made on Microsoft word or at, for example your core theme, followed by 6-8 sub-themes, and several other themes that are attached to the sub-themes – see appendix 1 Your mind/concept map does not need to be referenced – instead, you need to attach a bibliography of readings.

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