Monday 22 April 2013

FLUID MANAGEMENT

FLUID REQUIREMENT = MAINTENANCE + DEFICIT

MAINTENANCE FLUID

Day 1         60 ml/kg/day   D10%
Day 2         80 ml/kg/day   1/5SD10%
Day 3       100 ml/kg/day   1/5SD10%
Day 4       120 ml/kg/day   1/5SD10%
Day 5-30  150 ml/kg/day   1/5SD10%

1/12 - 6/12              150ml/kg/day   1/5SD5%

6/12 to 1 year         120ml/kg         1/2SD5%

> 1year - 1/2SD%

<10kg     100ml/kg
10-20kg  50ml/kg
>20kg     20ml/kg

DEFICIT
= % dehydration x Body Weight (kg) x 10
e.g. 5% dehydration, BW=10kg
Deficit = 5x10x10 = 500cc


Urine Output
= total urine over24H
   24 x Body weight
= ml/kg/hr

1 comment:

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