![]() ![]() Calculations should update as the weight is entered. ![]() Start by entering the date of birth, gestation and weight in the form above. I would love to hear your feedback or suggestions for improvements. A complete update is underway with new features - which will be launching soon. This worksheet was used about 10,000 times in the last year - I hope you have found it helpful. All fluid boluses for volume should be done using normal saline (0.Medicines for Intubation and ResuscitationĪdd 0.9mL NaCl 0.9% to 0.1mL morphine (1mg) = 1mg/mLĪdd 4mL NaCl 0.9% to 1mL midazolam (5mg) = 1mg/mL (5mg/5mL)Īdd 0.5mL WFI to 0.5mL pancuronium (1mg) = 1mg/mLĭo not dilute (dose calculation rounded to vial)Īdd 1 mL WFI per 1mL Sodium Bicarbonate 8.4%Īdd 9mL NaCl 0.9% to 1mL phenobarbitone (200mg) = 20mg/mLĪdd 9mL NaCl 0.9% to 1mL phenytoin (50mg) = 5mg/mLĪdd 20mL NaCl 0.9% to 5mL acyclovir (125mg) = 5mg/mLĪdd 4.6mL NaCl 0.9% = 100mg/mL (Further dilute see manual)Īdd 3mL NaCl 0.9% to 1mL gentamicin (40mg) = 10mg/mL (Dilute further if Paediatric patients fasting for theatre & other situations still require dextrose.All neonates should receive 10% dextrose and other children should receive 5% dextrose (plus additives) at all times, unless specified by the Paediatric Unit. * hyponatraemic fluids such as 0.225%, 0.22% or 0.18% (1/5) NaCal should be avoided unless under consultation with a Consultant Paediatrician (other than in neonates as listed above).Īlmost all paediatric patients require dextrose to be added to IV fluids given the high glucose demand and metabolism of children compared with adults. * note that there is emerging evidence for the use of Plasma-Lyte 148 in maintenance and replacement fluids, although this is not yet endorsed as standard practice. Neonates maintenance fluids requiring added electrolytes (day 2+ of life available in SCN only) Neonates maintenance fluids (day 1-2 of life)ġ0% Dextrose + 0.225% NaCal + 10 mmol KCl/500ml Maintenance or replacement fluids (beware hyponatraemia - use under specialist consultation) Maintenance fluids (beware hyponatraemia - use under specialist consultation) Maintenance or replacement fluids (especially with likely Na/K losses e.g. Those available in BHS are: Pre-mixed IV fluid* Pre-mixed bags for IV fluids should be used in almost all circumstances for paediatric patients at BHS. Please ensure the intravenous fluid rates are used if looking at the RCH CPG, not the nasogastric rates.Īll paediatric IV fluids at BHS are based on and compliant with the Standards for Paediatric Fluids: NSW Health (2nd edition).Īn excellent review article of IV fluid volumes and types is available: McNab JPCH 2016. correction fluids can be calculated according to the RCH guidelines for gastroenteritis.Refer to the RCH intravenous fluids CPG and RCH maintenance fluid calculator. ![]()
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