How do you calculate IV maintenance fluid for pediatrics?

How do you calculate IV maintenance fluid 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 much IV fluid should be given for dehydration?

The fluid deficit in severe dehydration equals about 10% of body weight (i.e., 100 ml/kg). Infants should be given IV fluid at a rate of 30 ml/kg in the first hour, followed by 70 ml/kg in the next 5 hours, thus providing a total of 100 ml/kg in 6 hours.

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.

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.

What is the appropriate level of dehydration for a child?

V. Management: Oral Protocol See Pediatric Dehydration Mild Dehydration (standard replacement) Total ORS: 50 ml/kg over 4 hours by syringe, spoon or cup Moderate Dehydration (accelerated replacement) Total ORS: 100 ml/kg over 4 hours or WHO age and weight specific recommendations Weight <5 kg (age <4 months): 200 to 400 ml in 4 hours

What is the intravenous rehydration guidance (severe dehydration or shock)?

Intravenous Rehydration Guidance (Severe Dehydration or Shock) collapsed. Patients with severe dehydration, stupor, coma, uncontrollable vomiting, or extreme fatigue that prevents drinking should be rehydrated intravenously. For severe dehydration, start intravenous fluids (IV) immediately. If the patient can drink,…

How much IV hydration do you give a 12 month old?

Give 30-45 ml (1-1.5 oz or 2-3 tbs) every 5-10 minutes. Severe Dehydration failing oral rehydration with reassessment every 1-2 hours (WHO protocol) Caution, this WHO Protocol is very high volume (adjust per clinical situation, illness severity) Age <12 months: LR 30 ml/kg IV over 1 hour, then 70 ml/kg IV over 5 hours.

When is IV fluid given for rehydration?

The administration of intravenous fluid usually occurs when oral rehydration has failed. In such situations, an IV fluid administration may be more efficient for rehydration. This may be more relevant in infants and young children, especially if there is vomiting associated with diarrhea.