Intravenous fluid guidance for previously well children aged >7 days to 16 years

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Objectives

This guideline is for use by paediatric medical staff during the administration of MAINTENANCE IV fluid therapy in previously well children aged >7 days to 16 years (separate guidelines available for DKA, burns and NICU). If the patient may have renal impairment, IV fluids must be discussed with the renal team.

Algorithm

1. As per NICE guidelines, routine maintenance fluid prescription should rarely exceed 2L/day for females and 2.5L/day for male patients. 

IV fluid constituents

 

Plasma

Plasmalyte

Hartmanns

0.9% NaCI

0.18% NaCI 10% Dex

0.45% NaCI 5% Dex

Na+mmol/l

135-145

140

131

154

31

77

K+mmol/l

3.5-5.3

5

5

-

-

-

CL- mmol/l

95-105

98

111

154

31

77

HCO3-,mmol/l

24-32

27(acetate)

29(Lactate)

-

-

-

Glucose g/l

 

-

-

-

100

50

Glucose, mmol/l

4-8

-

-

-

556

278

Mg++ mmol/l

0.8-1.2

1.5

0

0

0

0

Ca++mmol

2.2-2.6

-

2

-

-

-

Osmolarity, m0sm/l

280-310

294

277

308

284

406

pH

7.35-7.45

7.4

6.5

5

 

4.4

Editorial Information

Last reviewed: 23 November 2016

Next review: 30 November 2019

Author(s): Graham Bell

Approved By: Paediatric Clinical Effectiveness & Risk Committee