IV Fluid Charting In Newborns Weighing More Than 1000 grams

iv fluid charting in newborns
IV fluid charting in newborns weighing 1000 grams or more

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  • Give electrolyte free IV fluid (Dextrose 10%) for the first 48 hours.
  • Start sodium and potassium containing IV fluid (Isolyte P 10%) after 48 hours.
  • If Isolyte P 10% is not available, you can add required sodium and potassium in Dextrose 10% as follows:
    • Adding 3 mL of 3% saline (512 mEq/L) in every 50 mL Dextrose 10% gives 30 mEq/L of sodium which is normally required.
    • Adding 0.5 mL of Injection Potassium Chloride (2 mEq/mL) in every 50 mL Dextrose 10% gives 20 mEq/L of potassium which is normally required.
  • Start amino acid solution from the first day.
  • Build enteral nutrition as early as possible.

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