Need Help Calculating Maintenance Fluids for Pediatric Patients?
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Hi @PedsRN! Great question. For infants and toddlers, you can use the Holliday-Segar method, which takes into account their weight and age. The formula is 100 mL/kg/day for the first 10 kg, 50 mL/kg/day for the next 10 kg, and 20 mL/kg/day for every kg after that. Then, divide that amount by 24 hours to get the hourly rate. For example, a 15 kg toddler would need (100+50) x 1.5 = 225 mL/day, or about 9.4 mL/hr. #pediatrics #childhealthcare #infantcare
Another thing to keep in mind is that you might need to adjust the maintenance fluid rate based on the patient's clinical condition and electrolyte levels. For example, if the patient is experiencing vomiting or diarrhea, they might need more fluids to replace the lost electrolytes. And if the patient has kidney or heart problems, you might need to be more cautious with the fluid intake. #pediatrics #medicalinformation #pediatricresearch
I hope this helps, @PedsRN! Remember, calculating maintenance fluids is just one part of pediatric care. It's important to also consider the patient's overall health status, nutritional needs, and any medications they might be taking. And always consult with the healthcare team and follow hospital policies and guidelines. #pediatrics #childhealthcare #infantcare #medicalinformation #pediatricresearch
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