Question

calculate TMs maintenance fluid requirements. do the IV fluids ordered meet this requirement?

Answer 1

Maintenance fluids

Maintenance fluids are used when a patient is NPO. Maintenance fluids consist of water, glucose, sodium, and potassium. The glucose prevents starvation ketoacidosis and decreases the likelihood of hypoglycemia. Water, sodium and potassium protect the patient from dehydration and electrolyte disorders.

Formulas Used:

• For 0 - 10 kg = weight (kg) x 100 mL/kg/day
• For 10-20 kg = 1000 mL + [weight (kg) x 50 ml/kg/day]
• For > 20 kg = 1500 mL + [weight (kg) x 20 ml/kg/day]

Weight	volume/hr	Rate/hr
O-10kg	100ml/kg	4ml/kg
11-20kg	1000ml+50ml/kg for each kg >10kg	40ml+2ml/kg for each kg>10 kg
>20kg	1500+20ml/kg for each kg >20kg	60ml+ 1ml/kg for each kg>20 kg
Maximum	2400-3000	100-120ml

Yes IV fluid meet requirement because in normal saline, RL , Dextrose present electrolytes to complete requirements of the body

Normal daily fluid and electrolyte requirements: 25–30 ml/kg/d water 1 mmol/kg/day sodium, potassium, chloride 50–100 g/day glucose (e.g. glucose 5% contains 5 g/100ml).