You can enter the child’s weight and estimated percentage dehydration into the Fluid Calculator and print out all the appropriate calculations.įor fluids in diabetic ketoacidosis: Refer to the Diabetic ketoacidosis Emergency Department Guideline. Hourly rate (mL/hour) = total fluid amount/24 hours. If hypernatraemic or hyperosmolar rehydrate over 48 hoursĬalculate the total fluid amount for 24 hours = maintenance fluid + deficit fluid. If normonatraemic rehydrate over 24 hours Refer to Pyloric Stenosis – ED Guidelines Refer to Burns – Intravenous (IV) Fluids - ED Guidelines Restore hydration by replacing fluids already lost: Neonate (20kg=1500mL+(20mL for each kg over 20kg)/ 24 hours Normal losses (renal, gastrointestinal tract) insensible losses (lungs, skin) In blood loss aim to start with boluses of RBC if shocked, otherwise boluses of sodium chloride 0.9% until RBC available Reassess and repeat until no longer shocked Plasma-Lyte 148) are an alternative to sodium chloride 0.9% if available4 Capillary refill >2 seconds (centrally)Ĭrystalloid (1st line): 0.9% sodium chlorideīalanced solutions (e.g. To restore circulatory volume, if shocked: To guide staff in the use of intravenous fluid therapy in children. Refer to Intravenous Fluid Management – Medication Management Manual (internal WA Health only). Clinicians should also consider the local skill level available and their local area policies before following any guideline. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. Clinical common-sense should be applied at all times. They are not strict protocols, and they do not replace the judgement of a senior clinician. These guidelines have been produced to guide clinical decision making for the medical, nursing and allied health staff of Perth Children’s Hospital.
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