- #Neonatal maintenance fluid calculator professional#
- #Neonatal maintenance fluid calculator download#
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. Maintenance Fluid Requirements for essentially well child with normal hydration status - Most unwell children should receive 2/3 of this amount. Viewed in this manner, the authors concluded that 100 mL/kg/day for weights to 10 kg, an additional 50 mL/kg/day for each kilogram from 11 to 20 kg, and 20 mL/kg/day more for each kilogram beyond 20 kg. Brought to you by Merck & Co, Inc. A 1-liter bolus may be appropriate for most patients, such as overweight adolescents and adults. If not calculating based on ideal body weight, use clinical judgment for dosing. Consider using ideal body weight in obese patients. This curve could be seen comprising of three linear sections which coincided approximately with the following weight sections: 0 to 10 kg, 10 to 20 kg, and 20 to 70 kg. Diabetic Ketoacidosis (DKA) Neonatal Hypernatremia Dehydration in Children. INSTRUCTIONS While originally derived in pediatric patients, this calculator is applicable to any age. Based on their data and assumptions, Holliday and Segar constructed a curve plotting Energy Caloric Requirements versus Weight. The relationship between Weight and Energy Expenditure was found to be NON-LINEAR. In addition to this maintenance volume, fluid administration is needed to correct fluid losses. In other words “the average needs for water, expressed in milliliters, equals energy expenditure in calories (under normal resting conditions, 1 ml of water is required to metabolize 1 kcal)". The formula determines maintenance fluid needs per hour. In a study published in 1957, in the Journal Pediatrics, Malcolm Holliday and William Segar developed a simple scheme which could be easily remembered to calculate the maintenance water needs in hospitalized patients.Īssimilating the known physiology at the time, they observed that “there was a DIRECT LINEAR relationship between Physiologic Water Needs (insensible losses + urinary losses) and Energy Metabolism".
#Neonatal maintenance fluid calculator download#
No more sheets of paper thrown away with the math! Download Newborn Fluid Therapy now!!ĭestined to pediatricians, neonatologists, medical students, residents and all healthcare providers who actually work with the newborn patient.One of the primary objectives of maintenance parenteral fluid therapy is to provide water to meet physiologic losses (insensible loss + urine loss). It also provides the information on glucose grams, Infusion rate (in ml/h, drips/min or microdrips/min), glucose and potassium concentrations, to make your prescription safer.
#Neonatal maintenance fluid calculator professional#
With Newborn Fluid Therapy, the health professional can easily calculate the venoclisis to young children with no mistakes, with an easy tutorial for better learning. In order to calculate the maintenance fluid for a newborn, one needs to know the fluid requirements for age, the glucose infusion rate and electrolytes needs for each individual. INSTRUCTIONS While originally derived in pediatric patients, this calculator is applicable to any age.
EThe health professional can easily calculate the venoclisis to young children.įluid therapy is the procedure in wich intravenous or oral fluid is given to patients (of all ages) When dehydrated, or in all kinds of clinical situations when it’s necessary to offer the patient fluid, glucose or electrolytes.
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