Intravenous fluid therapy (peds) - Revision history

Ostermayer at 20:53, 17 January 2026

2026-01-17T20:53:36Z

← Older revision		Revision as of 20:53, 17 January 2026
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	{{~~Peds top}} [[~~Intravenous fluid therapy~~]] or [[~~critical care quick reference]] for bolus doses by weight.''		{{PediatricPage\|Intravenous fluid therapy\|critical care quick reference}} ''for bolus doses by weight.''
	==Background==		==Background==
	{{IVF composition}}		{{IVF composition}}

2022-12-07T18:53:23Z

Electrolytes

← Older revision		Revision as of 18:53, 7 December 2022
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	*(Maintenance + deficit)/daily volume = concentration of electrolyte in fluid to be given		*(Maintenance + deficit)/daily volume = concentration of electrolyte in fluid to be given
	*4mL/kg of H2O lost, ups Na by 1meq		*4mL/kg of H2O lost, ups Na by 1meq
	*Normal saline (NS) = 154 mEq Na/L, 1/2 NS = 77 mEq/L, 1/4NS = 38 mEq/L

	==See Also==		==See Also==

2022-12-07T18:53:04Z

Acute Repletion (Bolus)

← Older revision		Revision as of 18:53, 7 December 2022
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	===Adult Size===		===Adult Size===

	===Pediatric===		===Pediatric Size===
	''See [[critical care quick reference]] for drug doses by weight.''		''See [[critical care quick reference]] for drug doses by weight.''
	*20 mL/kg per bolus		*20 mL/kg per bolus

2022-12-07T18:50:15Z

2022-12-07T18:46:59Z

Maintenance Fluids

← Older revision		Revision as of 18:46, 7 December 2022
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	**Hourly rate daily volume/24 hr		**Hourly rate daily volume/24 hr

	===Pediatric (4-2-1 Rule)===		===Pediatric Size (4-2-1 Rule)===
	*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution		*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution
	**Isotonic fluids are now preferred (2019 AAP update)<ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>		**Isotonic fluids are now preferred (2019 AAP update)<ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>

2022-12-07T18:46:44Z

Maintenance Fluids

← Older revision		Revision as of 18:46, 7 December 2022
Line 19:		Line 19:
	**Hourly rate daily volume/24 hr		**Hourly rate daily volume/24 hr

	===Pediatric===		===Pediatric (4-2-1 Rule)===
	*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution		*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution
	**Isotonic fluids are now preferred (2019 AAP update)<ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>		**Isotonic fluids are now preferred (2019 AAP update)<ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>

	~~===4-2-1 Rule===~~
	====IVF Quick Reference (Peds)====		====IVF Quick Reference (Peds)====
	{\| class="wikitable"		{\| class="wikitable"

2022-12-07T18:45:56Z

Alternative Method

← Older revision		Revision as of 18:45, 7 December 2022
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	*Example: For a 34 kg infant, you should run the IVF at 74 mL/hr. Often people choose to round to multiples of 5.		*Example: For a 34 kg infant, you should run the IVF at 74 mL/hr. Often people choose to round to multiples of 5.

	===Alternative Method===		====Alternative Calculation Method====
	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-

2022-12-07T18:45:02Z

Maintenance Fluids

@@ Line 24: / Line 24: @@
 ===4-2-1 Rule===
-====Rule====
+====IVF Quick Reference (Peds)====
 *mL/hr =
 **(4 x first 10kg) '''+'''
@@ Line 75: / Line 127: @@
 mL/kg per hour x 10 kg
 |}

2022-12-07T18:44:00Z

Quick Reference (Peds)

2022-12-07T18:43:20Z

Acute Repletion (Bolus)

← Older revision		Revision as of 18:43, 7 December 2022
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	===Pediatric===		===Pediatric===
	''See [[critical care quick reference]] for drug doses by weight.''		''See [[critical care quick reference]] for drug doses by weight.''
			*20 mL/kg per bolus

	==Maintenance Fluids==		==Maintenance Fluids==

← Older revision		Revision as of 18:50, 7 December 2022
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	*[[Critical care quick reference]]		*[[Critical care quick reference]]
	*[[Vascular access]]		*[[Vascular access]]
			*[[Electrolyte abnormalities]]

	==External Links==		==External Links==