INTRAVENOUS FLUID

ELECTROLYTES

Daily Requirement Electrolytes
Na  2-3mmol/kg/day
K   2-3mmol/kg/day

Potassium Correction
Max delivery 0.4mmol/kg/H
Delivery rate = 13.3mmol/g  x g KCl x rate (ml/h)
                                                  500ml     Wt (kg)
Requirement  = Maintenance + Deficit
Maintenance =  2-3mmol/kg/day
Deficit = (aim - current)(0.6)(Wt)
Requirement =  (aim - current)(0.6)(Wt) + (2 or 3)(Wt)
                                                    13.3mmol/L
Note: 1g KCl = 13.3 mmol/L

Sodium Correction
Max delivery rate = 0.5mmol/L/H
Requirement =  (aim - current)(0.6)(Wt) + (2 or 3)(Wt)
                      =  ........mmol/L

Note: 1cc 3% saline = 0.513mmol/L                   

NEONATAL SEIZURE

 

REF: Paediatric Protocol for Malaysia Hospital, 3rd Edition

COMMONLY USED DRUGS' DOSES IN NEONATES

ANTI-REFLUX
Syr / IV omeprazole 0.4-0.8mg/kg 12Hly
IV maxalon 0.15-0.3mg/kg 8Hly
Syr maxalon 0.2-0.4mg/kg 8Hly

ANTI-FAILURE
Syr captopril 0.1-2.0mg/kg 8Hly
Syr lasix0.5-1.0mg/kg 6-24Hly
Syr spironolactone 6.25mg 12H (NOT/kg) - for 0-10kg

NEONATAL SEPSIS
1ST LINE
IV C-penicillin 100,000IU/kg 12hourly
IV gentamicin 4mg/kg OD (term)
IV gentamicin 4mg/kg 36hourly (prem)
2ND LINE
IV cefepime25mg/kg BD
IV vancomycin 15-20mg/kg 8H, (over 90minutes)
IV tazocin 75mg/kg 8H
IV amikacin 15mg stat & 7.5mg OD
3RD LINE
IV imipenem 25mg/kg 12H (over 1hour)
IV meropenem 10-20mg/kg 8H (over 5-30min)
IV ciprofloxacin 4-7mg/kg 12H

CARDIOVASCULAR RESPONSE TO HAEMORRHAGE

Image taken from Physiology by Linda S. Costanzo 1st Ed.