Pediatric Fluid Volume Practice

Maintenance fluid Example: 25 kg Example: 1 kg 1. Up to 1st 10 kg x 100 mL = ????? 2. Up to 2nd 10 kg x 50 mL = ????? 3. wt over 20 kg x 20 mL = ???? Add total and divide by 24 hr = mL/hr 10 kg x 100 mL = 1000 mL 10 kg x 50 mL = 500 mL 5 kg x 20 mL = 100 mL 1600 24hrs = 66.66.. = 66.7 mL/hr 1 kg x 100 mL = 100 24 hr Start with step #1 Use step #2 if child is 10 kg Use step #3 if child is 20kg ▪ 100 mL / kg( Up to 1st 10 kg) ▪ + 50 mL/ kg( Up to 2nd 10 kg) ▪ + 20 mL/ kg(remaining weight in kg) = Daily fluid maintenance volume • Total Volume 24hrs = rate in mL hr to set the pump Round your answer to the 1st decimal place (10th place ½ maintenance fluid Example: 25 kg ½ Maintenance fluid Same formula 1-10 kg x 100 mL 12.20kg x 50 mL 20 kg x 20 mL Total 24hrs 2 = mL/hr 10 kg x 100 mL = 1000 mL 10 kg x 50 mL = 500 mL 5 kg x 20 mL = 100 mL 1600 24 2 = 33.3mL/hr 1.5 maintenance fluid Same formula 1-10 kg x 100 mL 12.20kg x 50 mL 20 kg x 20 mL Total 24hrs x 1.5 = mL/hr Work the following problems and round your answers to the nearest 1st (10th) decimal place. 1. The nurse is caring for a child who is admitted for treatment of a respiratory infection. The doctor’s IV order reads: Give D5 ½ NS + 20mEq KCl at maintenance rate. The patient weighs 57kg. At what rate will the nurse set the pump (mL/hr)? mL/hr 2. The nurse is caring for a 42 lbs child in the emergency department The physician orders NS to run at full maintenance. Calculate how many mL/hr to set your pump. mL/hr 3. The nurse is reviewing a prescription for a postoperative child receiving intravenous fluids. The prescription reads: Give D5 ½ NS + 20mEq KCl at maintenance. The child weighs 44kg. At what rate will the nurse set the pump? mL/hr 4. The nurse is caring for a child diagnosed with diabetic ketoacidosis. The prescription reads: NS IV at 2X maintenance Your client weighs 200 lbs. At what rate will the nurse set the pump? mL/hr 5. The nurse is caring for a 45 lbs child in the emergency department with a hx of a fever for two days. The physician orders NS to run at 1.5 maintenance. Calculate how many mL/hr to set your pump. mL/hr 6. The nurse is caring for a 32 lbs child in the emergency department with a hx of vomiting for two days. The physician orders NS to run at 1.5 maintenance. Calculate how many mL/hr to set your pump. mL/hr