paeds- fluid calculations

Question 1

up to what date is a child considered a neonate

Answer 1

4 weeks

Question 2

describe neonatal fluid resus

Answer 2

day 1- 60ml/kg
day 2- 90ml/ kg
day 3- 120 ml/kg
day 4- 150ml/kg

from day 4 up to 28 days- stay at 150ml/kg

divide by 24 to get hourly rate

Question 3

how can you approximate weight in children?

Answer 3

(age + 4) x 2

Question 4

what fluid is used in neonates?

Answer 4

10% glucose

Question 5

what fluid is used in children?

Answer 5

0.9% NaCl + 5% glucose (+/- KCl)

Question 6

describe the maintenance fluid calculation in children

Answer 6

first 10kg= 100ml/kg
from 10-20kg= 50ml/kg
any weight over 20kg= 20ml/kg

divide by 24 for hourly rate

Question 7

if a child is not clinically dehydrated, what fluids will be given?

Answer 7

maintenance

Question 8

if a child is clinically dehydrated, what is given?

Answer 8

maintenance + deficit (5%)

Question 9

in a clinically dehydrated child, describe the calculation to get the fluid deficit

Answer 9

50ml/kg (5%)

Question 10

if a child is clinically shocked, what is given?

Answer 10

maintenance + deficit (10%) + bolus

Question 11

in a shocked child, describe the calculation for the fluid deficit

Answer 11

100ml/kg (10%)

Question 12

when is a bolus given?

Answer 12

if shocked/ massive volume loss (haemorrhage etc)

Question 13

describe the bolus calculation and fluid type

Answer 13

20ml/kg

0.9% NaCl