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Maintenance fluids

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Maintenance fluid [ml/hr] requirements for ≤10 kg:

Wt / kg 3 5 7 9 10
Active 12 20 28 36 40
Inactive 6 10 14 18 20
Fever add 10 % for every 1 o Celsius
Hypothermia deduct 12 % for every 1o Celsius
30 % post OP Cardiac Day 1 4 6 9 12 13
50 % post OP Cardiac Day 2 6 10 14 18 20
Burns add 4 % for every 1 % burnt (day 1)
add 2 % for every 1 % brunt (day 2)

Maintenance fluid [ml/hr] requirements for ≥11 kg & <20 kg

Wt / kg 11 13 15 17 20
Active 42 46 50 54 60
Inactive 21 23 25 27 30
Fever add 10 % for every 1 o Celsius
Hypothermia deduct 12 % for every 1o Celsius
30 % post OP Cardiac Day 1 14 15 17 18 20
50 % post OP Cardiac Day 2 21 23 25 27 30
Burns add 4 % for every 1 % burnt (day 1)
add 2 % for every 1 % brunt (day 2)

Maintenance fluid [ml/hr] requirements for ≥21 kg:

Wt / kg 21 30 40 50 60
Active 61 70 80 90 100
Inactive 30 35 40 45 50
Fever add 10 % for every 1 o Celsius
Hypothermia deduct 12 % for every 1o Celsius
30 % post OP Cardiac Day 1 20 23 27 30 33
50 % post OP Cardiac Day 2 30 35 40 45 50
Burns add 4 % for every 1 % burnt (day 1)
add 2 % for every 1 % brunt (day 2)

 


 All Marc’s PICU cardiology FOAM can be found on PICU Doctor and can be downloaded as a handy app for free on iPhone or Android. A list of contributors can be seen here.

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