Fluids and Electrolytes Flashcards
1
Q
Maintenance fluid
A
4, 2, 1 rule
4 mL/kg/hr for first 10 kg
2 mL/kg/hr for second 10 kg
1 mL/kg/hr for following kg’s
2
Q
Bolusing fluid
A
Use Normal Saline (154 mEq/L)
20 mL/kg in first hour
3
Q
Fluid deficits
A
Normal weight - illness weight
1 kg = 1 L of deficit
Replace with bolus in first hour and then half in first 8 hrs followed by second half in next 16 hrs
4
Q
Daily electrolyte needs
A
Na = 3-4 mEq/kg/d K = 2-3 mEq/kg/d Cl = 2-3 mEq/kg/d
5
Q
Stock solutions
A
NS = 154 mEq/L K = 20 mEq/L (don't give to neonates or before surgery)
6
Q
Type of fluid for neonate
A
D10W (just born)
7
Q
Type of fluid for toddler
A
D5 1/2 NS + 20KCl
8
Q
Type of fluid for teenager/adult
A
D5 NS + 20 KCl
