CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.Īccordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. or very precise amounts of fluid, as with neonates or pediatric patients. The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. The formula for calculating the IV flow rate (drip rate) is total volume (in. Use of this site is subject to the Terms of Use. Objectives Physiology of Fluid Distribution Different types of IV fluids Distribution of IV Fluids in Body Compartments Maintenance Fluid Calculation Calculation of Deficits Phases of Resuscitation Special circumstances. 1) Daily volume formula: (100 mL for each of the first 10 kg) + (50 mL for each kg between 11 and 20) + (20 mL for each additional kg past 20 kg) 1,000 mL + 500 mL + 120 mL 1,620 mL. If dehydration, remove dextrose from IV fluid, run NS at 1X maintenance General Guidelines for Meals Under 3 yrs of age up to 30 gms 3-5 yrs of age up to 30-45 gms 6-10 yrs of age up to 60 gms 11-14 yrs of age up to 75 gms Older than 15 yrs of age up to 90 gms. These are the two methods for calculating pediatric maintenance fluid rates, applied in the case of a child weighing 26 kg. ©2023 by Children's Hospital of Philadelphia, all rights reserved. 5) Stop IV fluids after 1st meal unless continued dehydration.
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