FLUIDS AND

ELECTROLYTES
Eg: wt 25kg

1500 + (5 x 20) = 1600cc

 FLUID DEFICIT
MILD MODERATE SEVERE

INFANT WEIGHT X 50 WEIGHT X 100 WEIGHT X 150

OLDER CHILD WEIGHT X 30 WEIGHT X 60 WEIGHT X 90

TOTAL FLUID REQUIREMENT IN 24 HOURS = MAINTENANCE + DEFICIT

TOTA FLUID REQUIREMENT PER HOUR = TOTAL FLUID REQUIREMENT IN 24 HOURS / 24
 Eg 25kg mild dehydration

 Deficit = 25kg x 30cc = 750

 Total fluid requirement = maintenance + deficit
1600 + 750 = 2350 in 24 hours
 Total fluid requirement per hour = 97 or 100 cc/ hour
Normal Sodium: 135-145
 Deficit = (Desired – Actual) X weight X 0.6
 Maintenance = Wt X 1-2mEq
 Total Sodium Deficit = deficit + maintenance

Eg. Na 120 wt 10kg

Deficit = (130-120) X 10kg X 0.6 = 60 mEq
Maintenance = 10kg X 2 = 20 mEq
Total Na Deficit = 80 mEq
Normal Potassium: 3.5-4.5
 Potassium Deficit = (Desired – Actual) X wt X 0.4
 Potassium Maintenance = wt X 3
 Total Potassium Deficit = Deficit + Maintenance

Eg. Wt 20kg K 2.5

Potassium Deficit = (3.5- 2.5) X 20 X 0.4 = 8
Potassium Maintenance = 20 X 3 = 60
Total Potassium Deficit = 8+ 60 = 68
Potassium Infusion Rate (KIR)
 meQ KCl incorporated X running rate
IV fluid level
body weight

Eg. Wt 15kg 20meQ KCl in 1000ml D5IMB @ 50cc/hr

20+20meQ X 50cc/hr
1000cc
15kg

KIR = 0.13 D5IMB contains 20mEq potassium

Normal KIR = 0.1-0.2

ASSIGNMENT:
1.WHO GUIDELINES FOR THE
MANAGEMENT OF DEHYDRATION
2. CAUSE OF HYPO/HYPERNATREMIA
AND HYPO/HYPERKALEMIA