LUDAN’S METHOD

Hydration Phase
Weight Mild Mod Sev
< 10 kg 50cc/kg 100cc/kg 150cc/kg
>10 kg 30cc/kg 60cc/kg 90cc/kg
D5 0.3% in 6-8 1st hr: 1/3
1st hr: ¼ PLRS
hrs PLRS
5-7 hr: ¾ 5-7 hr: 2/3
D5LRS D50.3%
Maintenance Phase
Weight FR if px has Respiratory Problem:
0-10 kg 100cckd use lower TFR
11-20 kg 75cckd
21-30 kg 60cckd
>30 kg 50cckd

HOLLIDAY-SEGAR METHOD
(Maintenance based on caloric expenditure)
WATER
Body Weight mL/kg/day mL/kg/hr
1st 10 kg 100 ≈4
2nd 10 kg 50 ≈2
Each additional kg 20 ≈1
divide in 24hrs= ugtts/min
To calculate needed electrolytes:
Na+ 3 mEq/100 mL H20
K+ 2 mEq/100 mL H20
Cl2- mEq/100 mL H20

BODY SURFACE AREA

Hydration Phase for 6-8 hrs
SA 5%- usually used, SA 10% SA 15%

ugtts/min= [(wt in kgs/ 0.95)-wt in kgs] x 2000 / 6-8 hrs

3 IVF glu Na Cl K C HCO Mg HPO
Maintenance based on BSA a 3 4

√
D5W 50
wt in kgs x 4 + 9
Ht (cm) x Wt (kg) D10W 100
D20W 200
100 3600 D50-50 500
0.45 77 77
TFR = BSA x 1500 mL/m2/24 hr NaCl
ugtts/min= (wt in kgs x 4 + 9) x 15 3% 513 513
NaCl
24 PNSS 154 154
Surface Are Maintenance if with Fever D50.3 50 51 51
1. SA x 1500= A NaCl
2. x 10cc/kg/1°C rise in temp [Febrile T – Normal T D50.45 50 77 77
(37.5°C)] = B D50.9 50 154 154
3. (A+B) / 24 hrs= ugtts/min D5LR 50 130 109 4 3 28
S
PLRS 130 109 4 3 28
D5IM 50 25 22 20 23 3 3
Philippine EPI 2014 (Primary Doses) B
Vaccine Sched Dose/Route/SIte D5NM 50 40 40 13 3
P: Birth D5NR 50 140 98 5 3
BCG .05ml ID R.deltoid D5NM 50 40 57 30 3
B: School entry K
P: 6, 10, 14 wks
OPV B1: 1 yr after P 0.5ml PO Mouth
B2: 4-6 yrs after B1
P: 6, 10, 14 wks
DTwP B1: 1 yr after P 0.5ml IM UOthigh
B2: 4-6 yrs after B1
Hep B P: Birth, 6, 14 wks
0.5ml IM ALthigh
(monovalent) B: 5 years after
DTwP-Hib-Hep
P: 6, 10, 14 wks IM UOthigh
B (pentavalent)
P: 9 mos
Measles B1: 15 mos 0.5ml SC UOarm
B2: 5-12 yrs
P: 12 mos
MMR 0.5ml SC UOarm
B: 5-12 yrs after
Rotavirus P: 6, 10 wks PO mouth
Pneumococcal P: 6, 10, 14 wks 0.5ml IM/SC deltoid
 MILK FEEDING  demonstration of maternal ability to care for her own baby

3-5kgs 2oz 9xa day 0-2wks

4.5-5.5 4oz 6xa day 2wks-3mo
WARD ADMITTING ORDERS
6.5kgs 6oz 5xa day 3-6mo
(ADC VAN DISEL)
7.5kgs 6oz 4-5xa day 6mo&over  Admit to room of choice under the service of ______
 Diagnosis
 Condition (Stable or critical)
 VS (frequency, usu. Q4 if stable
NESTLE (1:1) MEAD JOHNSON (1:1)
 Activity (CBR, No bathroom prev, no limitations)
AL 110 Lactose Free Alacta 0-6mos
Alfare Alactamil 6mo-1y/o  Nursing Proc (Bedside proc including suctioning,
NAN H.W. 1,2 Enfalac A+ 0->1yr draining, and HGT)
NAN 1,2,3 Enfalac iron fortified 0->1y/o  Diet (NPO, soft diet, gen/clear liquids)
NESTOGEN 1,2,3 Enfalac LF 0- >1y/o  I & O (usu Qshift)
NAN/NESTOGEN 3-10- Enfalac Premature  Specific fluids and drugs
24mos Enfapro A+ infants  Extras
PRENAN Enfapro LF  Laboratory
Enfapro with DHA  AP informed of this admission
BEAR BRAND 1+ Enfagrow AT >1y/o  Refer accordingly
NIDO Jr 1-3y/o Enfagrow LF
NIDO 3+ 3-5y/o Enfakid AT 3y/o & above
NIDO 5+ >5y/o

PACIFIC HEALTHCARE
ABBOTT (1:2)
(1:1)
Frisolac 0-6mos Isomil B-6mos
Frisomel 6mos-1yr Isomil 2 6mos onward
Frisogrow 1-3yr Similac advance 0-6mos
Frisokid 4-7yr Similac neosure 0-12mos (wt
gain)
Grow >1y/o
Gain + Advance >1y/o
Gain school Adv>3y/o

UNILAB NUTRITIONALS
WYETH (1:2)
(1:2)
Hinulac >6mos Bonna: 0-6mos
Hinulac Excel 6-12 mos Bonnamil .6mos
Mylac Promil >6mos
Mylac excel 0-12 mos Promil Gold>6mos
S26-B-6mos
S26 Gold B-6mos
S26 LF B-6mos
Progress Gold>1y/o
Promil Kid 1-3y/o
Promil preschool>3y
FONTERRA
Anchor 1-3y/o
Anchor 3+: 3-7yrs

NURSERY ADMITTING ORDERS

 Pls admit to NSY under the service of ____
 Secure consent for admission & mgmt
 Routine newborn care:
- Terramycin Ophtalmic Eye ointment OU
- Vit K 1mg (IM) now
- Cord care with 70% Isopropyl alcohol TID
 Place in a bassinet & keep thermo -regulated bet 37.4-
36.6⁰C
 NPO X 2H then may breastfeed
 VS Q15 until stable then Q2
 I & O Q shift
 For gastric lavage (for CS & mec stained)
 AP informed of this admission
 Refer accordingly

DISCHARGE CRITERIA FOR NEWBORN

 (N) VS & PE
 ability to suckle on breast effectively or by other methods
 doc adequacy in UO & SE
 completion of neonatal screening tests
 complete anthropometrics measurements