How do you calculate daily fluid maintenance for pediatrics?

How do you calculate daily fluid maintenance for pediatrics?

  1. For infants 3.5 to 10 kg the daily fluid requirement is 100 mL/kg.
  2. For children 11-20 kg the daily fluid requirement is 1000 mL + 50 mL/kg for every kg over 10.
  3. For children >20 kg the daily fluid requirement is 1500 mL + 20 mL/kg for every kg over 20, up to a maximum of 2400 mL daily.

How do you calculate daily maintenance fluid requirement?

Formulas Used:

  1. For 0 – 10 kg = weight (kg) x 100 mL/kg/day.
  2. For 10-20 kg = 1000 mL + [weight (kg) x 50 ml/kg/day]
  3. For > 20 kg = 1500 mL + [weight (kg) x 20 ml/kg/day]

What is the 4 2 1 rule for maintenance fluids?

In anesthetic practice, this formula has been further simplified, with the hourly requirement referred to as the “4-2-1 rule” (4 mL/kg/hr for the first 10 kg of weight, 2 mL/kg/hr for the next 10 kg, and 1 mL/kg/hr for each kilogram thereafter.

What is maintenance fluid for pediatrics?

Maintenance fluids are used when a patient is NPO. Maintenance fluids consist of water, glucose, sodium, and potassium. The glucose prevents starvation ketoacidosis and decreases the likelihood of hypoglycemia.

How do you calculate IV drip rate for pediatrics?

  1. Using kg of body weight to calculate fluid maintenance:
  2. For a child who weighs 42 pounds, the correct IV drip rate for fluid maintenance is how many mL/hr?
  3. First, find the child’s weight: 42/2.2 = 19.09, rounded to 19 kg.
  4. Next, identify the correct formula:
  5. (4 mL X10 kg) + (2mL x 9kg) = hourly rate.

How do you calculate IV fluids in a neonate?

Calculate routine maintenance IV fluid rates for children and young people using the Holliday–Segar formula (100 ml/kg/day for the first 10 kg of weight, 50 ml/kg/day for the next 10 kg and 20 ml/kg/day for the weight over 20 kg).

What is the drop factor for pediatric?

Fluid to be administered

Weight Volume /24 hours Rate* (paediatric infusion set 1 ml = 60 drops)
3 to < 4 kg 350 ml/24 h 15 drops/min
4 to < 5 kg 450 ml/24 h 19 drops/min
5 to < 6 kg 550 ml/24 h 23 drops/min
6 to < 7 kg 650 ml/24 h 27 drops/min

How do you calculate IV maintenance fluids?

Maintenance Fluid Rate is calculated based on weight.

  1. 4 mL / kg / hour for the first 10kg of body mass.
  2. 2 mL / kg / hour for the second 10kg of body mass (11kg – 20kg)
  3. 1 mL / kg / hour for any kilogram of body mass above 20kg (> 20kg)

What IV fluids are given to children?

The preferred fluid type for IV maintenance is sodium chloride 0.9% with glucose 5%

  • Plasma-Lyte 148 with glucose 5% (contains 5 mmol/L of potassium) – generally stocked in tertiary paediatric centres and intensive care.
  • Hartmann’s with glucose 5%

How do you calculate pediatric IV flow rate?

If you need to set this up on an IV infusion pump, use the formula, volume (mL) divided by time (min), multiplied by 60 min over 1 hour, this equals the IV flow rate in mL/hr. Using this formula, 100 mL divided by 30 min, times 60 min in 1 hr, equals 199.9, rounded to 200 mL/hr.

How do you calculate pediatric maintenance fluids?

For infants 3.5 to 10 kg the daily fluid requirement is 100 mL/kg.

  • For children 11-20 kg the daily fluid requirement is 1000 mL+50 mL/kg for every kg over 10.
  • For children > 20 kg the daily fluid requirement is 1500 mL+20 mL/kg for every kg over 20,up to a maximum of 2400 mL daily.
  • How do you calculate maintenance fluids?

    – Take your weight (in pounds) and divide that by 2.2. – Multiply that number depending on your age: If you’re younger than 30, multiply by 40. – Divide that sum by 28.3. – Your total is how many ounces of water you should drink each day.

    What are the fluid requirements for infants?

    – Sodium: 2-3 mEq/kg/day (starting on day 2) Usually administer 1/4 NS – Potassium: 2-3 meq/kg/day (starting on day 2) – Calcium: 30-45 mg/kg/day

    What is fluid maintenance?

    Abstract. We aimed to investigate whether annual change in the extracellular fluid to intracellular fluid (ΔECF/ICF) ratio can accurately predict mortality in hemodialysis patients.

  • Introduction.
  • Results.
  • Discussion.
  • Methods.
  • Funding.
  • Author information.
  • Ethics declarations.
  • Additional information.
  • Rights and permissions.