Pediatric IV Fluids

Question 1

What is the 4-2-1 rule?

Answer 1

• estimates the maintenance hourly fluid requirements
• for the first 10 kg, 4 mL/kg/hr
• 10-20, +2 mL/kg/hr
• anything past 20 kg… just add 1 mL/kg/hr
• remember that this calculates HOURLY fluid rate

Question 2

What are the electrolyte requirements for holliday segar method?

Answer 2

• Na-3 mEq per 100 cc water

- K- 2 mEq per 100cc water

Question 3

What is the maximum total fluid per day?

Answer 3

-2400 mL

Question 4

What is the fluid of choice?

Answer 4

-D5 1/4 NS + 20mEq/L Kcl

Question 5

What size bolus do we give a peds pt for isotonic fluid replacement?

Answer 5

-10-20

Question 6

How do we tell how much fluid to replace from their weight loss?

Answer 6

-take mg of weight lost
-that equal ccs fluid lost
-

Question 7

Timeline for replacing fluid

Answer 7

• over 24 hrs
• do half over the first 8 hrs
• do the second half over the next 16 hrs