acidotic baby with cholestrone around mouth

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i have a question

yesterday one nurse was holding a baby and told us that this baby smelled like nail polish remover, means this baby is acidotic, which means the baby is dehydrated. But he has so much cholestrone around his mouth. I assume the baby just didnt get the cholestrone in? Any more clearfy on that?thanks

Specializes in geriatrics.
Metabolic acidosis and ketosis is not an uncommon finding in pediatric patients with volume depletion and/or dehydration. You can appreciate the pathology of the acidosis when considering the effects of decreased cellular perfusion: Loss of oxidative phosphorylation---> loss of the tricarboxylic acid cycle---> conversion of pyruvate to lactate and the eventual onset of lactic acidosis.

gottcha!

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Specializes in Community, OB, Nursery.

Are you talking about a baby just delivered or one that's got a few hours of age on him?

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Specializes in geriatrics.
Are you talking about a baby just delivered or one that's got a few hours of age on him?

I believe he was a baby delivered for several hours already...not my patient i didnt really know anything about him, but from nurses' conversation of how exhausted this mother was after breastfeeding i assumed it has been delivered

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