![]() ![]() * hyponatraemic fluids such as 0.225%, 0.22% or 0.18% (1/5) NaCal should be avoided unless under consultation with a Consultant Paediatrician (other than in neonates as listed above).Īlmost all paediatric patients require dextrose to be added to IV fluids given the high glucose demand and metabolism of children compared with adults. * note that there is emerging evidence for the use of Plasma-Lyte 148 in maintenance and replacement fluids, although this is not yet endorsed as standard practice. Neonates maintenance fluids requiring added electrolytes (day 2+ of life available in SCN only) Neonates maintenance fluids (day 1-2 of life)ġ0% Dextrose + 0.225% NaCal + 10 mmol KCl/500ml Maintenance or replacement fluids (beware hyponatraemia - use under specialist consultation) Maintenance fluids (beware hyponatraemia - use under specialist consultation) Maintenance or replacement fluids (especially with likely Na/K losses e.g. Those available in BHS are: Pre-mixed IV fluid* Pre-mixed bags for IV fluids should be used in almost all circumstances for paediatric patients at BHS. ![]() Please ensure the intravenous fluid rates are used if looking at the RCH CPG, not the nasogastric rates.Īll paediatric IV fluids at BHS are based on and compliant with the Standards for Paediatric Fluids: NSW Health (2nd edition).Īn excellent review article of IV fluid volumes and types is available: McNab JPCH 2016. correction fluids can be calculated according to the RCH guidelines for gastroenteritis.Refer to the RCH intravenous fluids CPG and RCH maintenance fluid calculator. maintenance fluid requirements are calculated using the 4,2,1 rule (4ml/kg/hr for the first 10kg, 2ml/kg/hr for the second 10kg, and 1ml/kg/hr after that, with a maximum of 100ml/hr maintenance).all fluids should be calculated as maintenance + deficit correction + ongoing losses. ![]()
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