Lecture Day 2 Paediatric prescribing

Question 1

To work out what dose of mls you need to give (oral or IV( from what you’ve got

Answer 1

what you want / what you’ve got x volume its in = dose

160mg/120mg x 5 = 6.6mls

Question 2

IV maintenance fluids

for 37kg child

Answer 2

For the 1st 10kg – 100ml/kg/day
For the 2nd 10kg - 50ml/kg/day
Subsequent kg - 20ml/kg/day

For a child of 37kg:
(10 x 100) + (10 x 50) + (17 x 20) = 1840ml day = 76.6ml/hr

Question 3

How to assess if more IV fluids

Answer 3

• Skin turgor
• Crying without tears
• ↓ urine output
  Red flags
• Tachycardia
• ↓ skin turgor
• sucked eyes
• altered consciousness

Question 4

calculating deficit, 32kg if 5% dehydrated.

Answer 4

based on weight and % dehydration

% dehydration x weight x 10 = deficit ml

(5/100) x 32 x 1000 = 1600

Maintenance 1740 + 1600 = 3340