Half of all knee replacement patients in public hospitals are waiting more than six and a half months for surgery with one in eight waiting over 12 months. Medibankâs Health Cost and Utilisation report shows the average out of pocket expenses for a hip replacement was $1,144.
Obtain intravenous access, and give a 20 mL/kg isotonic fluid bolus (Ringer lactate or normal saline) to children with severe volume depletion. This should not delay transport to the appropriate facility. Reassessment of perfusion, cardiac function, mentation should take place after each intervention.
The combination of 0.9% saline (dehydration correction) and 0.18% saline (maintenance fluid) averages to approximately 0.45% (half-normal) saline.This approximation is acceptable because the kidneys will sort out what to keep and what to excrete. Step 1: In the ER, the child is estimated is having 10% dehydration.herapy may be started with a rapid bolus of 0.9% saline to combat incipient shock. But correction of dehydration has to be accompanied by provision of maintenance fluid-after all, the child is breathing, losing free water through the skin, and is urinating!