How do you give IV fluids to pediatrics?

How do you give IV fluids to pediatrics?

Calculate routine maintenance IV fluid rates for term neonates according to their age, using the following as a guide:

1. From birth to day 1: 50–60 ml/kg/day.
2. Day 2: 70–80 ml/kg/day.
3. Day 3: 80–100 ml/kg/day.
4. Day 4: 100–120 ml/kg/day.
5. Days 5–28: 120–150 ml/kg/day.

What is the 421 rule?

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 are the 4 R’s of IV therapy?

3. When prescribing IV fluids, remember the 5 Rs: Resuscitation, Routine maintenance, Replacement, Redistribution and Reassessment. 1.1.

What are typical pediatric IV fluids?

Bolus fluids should be isotonic; either normal saline or lactated ringers solution is used at a volume of 20 mL per kg, given over 60 minutes. Repeat boluses are given if necessary to maintain adequate perfusion. Isotonic fluids are used because they provide rapid volume expansion in the plasma and extracellular fluid.

How is pediatric dehydration treated?

Severe dehydration should be treated with intravenous fluids until the patient is stabilized (i.e., circulating blood volume is restored). Treatment should include 20 mL per kg of isotonic crystalloid (normal saline or lactated Ringer solution) over 10 to 15 minutes.

How do pediatrics fix dehydration?

For mild dehydration in a child age 1 to 11:

1. Give extra fluids in frequent, small sips, especially if the child is vomiting.
2. Choose clear soup, clear soda, or Pedialyte, if possible.
3. Give popsicles, ice chips, and cereal mixed with milk for added water or fluid.
4. Continue a regular diet.

How do you calculate pediatric IV flow rate?

The formula for calculating the IV flow rate (drip rate) is total volume (in mL) divided by time (in min), multiplied by the drop factor (in gtts/mL), which equals the IV flow rate in gtts/min.

How are pediatric drug doses calculated?

Care must be taken to properly convert body weight from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight….Example 2.

Step 1. Calculate the dose in mg:	18 kg × 100 mg/kg/day = 1800 mg/day
Step 2. Divide the dose by the frequency:	1800 mg/day ÷ 1 (daily) = 1800 mg/dose

What are the 3 phases of fluid therapy?

During the treatment of patients with septic shock, four phases of fluid therapy should be considered in order to provide answers to four basic questions. These four phases are the resuscitation phase, the optimization phase, the stabilization phase and the evacuation phase.

How do you calculate pediatric fluids?

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.

What is pediatric saline?

Saline (0.9 % NaCl solution), or physiological or normal saline (as it is frequently called), is the most-used fluid in pediatrics as resuscitation or maintenance solution and as vehicle for the administration of drugs.

What is appropriate fluid resuscitation for a pediatric patient?

The recommended rate is 50 mL to 100 mL/kg over 2 to 4 hours for oral fluids. [10] It is recommended to use an oral rehydration solution rather than free water or commercial sports drink. [10] Nasogastric administration is another route for rehydration with similar rates and fluids recommended for oral administration.