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Instruction Manual
Pediatric HAL® S3004/S3005
Pediatric HAL® One Year - Systemic Scenario
Hypovolemic Shock
Hyponatremic Seizures
A one year old boy presents to the ED with a three day history of vomiting and watery diarrhea with
out blood or mucous. He attends daycare and a note was sent home about two other children with
rotovirus diarrhea. He was given Pedialyte the first day and his vomiting and diarrhea decreased on
the second day. Today, however his diarrhea is constant and he has refused to drink. His urine
output is unclear because of the diarrhea in the diapers. During your assessment he has a thirty
second period of tremors.
HR 180
RR 30
BP 80/60
O2 Sat: 93%
Temp: 38.1 Deg C
Eyes closed
Action: IV access with bolus
of 20cc/kg of Ringer’s
Lactate over “15 minutes”.
Obtain blood for chemistry.
After the first “15 minutes”
vitals stay the same, so
administer a second bolus
and wait another “15
minutes”
Wait indefinitely for two
boluses of Ringer’s Lactate
Appearance:
Sleepy, but responsive
to parent’s voice
Assessment: Dehydration and early
compensated nonhemorrhagic
hypovolemic shock. Airway and
breating stable.
HR 150
Seizures
Transition Time: 30 sec
Assessment: Possible
hyponatremia. Blood chemistry
returns and serum Na is 120
mEq. Calculate sodium deficit
and replacement fluids
Wait indefinitely for switching
IV fluid to Normal Saline
HR 150
BP 100/60
RR 30
Transition Time: 30 sec
Wait indefinitely for
dopamine or
dopbutamine drip.
Healthy resting
Transition Time: 1 min
End
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