Physiologic diuresis is observed during the first few days of life which results in 5-15% reduction in body weight by the end of the first week. Neonates have excess total body water (TBW) at birth, which must be redistributed and excreted. Hourly Fluid Requirements calculated based on the "4-2-1 Rule" provide the minimum 5mg/kg/min of glucose needed by the infant brain. These two IV solutions are also the primary IV solutions of choice to provide for hourly maintenance fluid requirements in neonates and very young infants (< 4-6 months). Additionally the Royal Children's Pharmacy disclaimer applies.D10W and D10 1/4NS are the primary IV solutions used in neonates and young infants at risk for hypoglycemia. The developer is not liable for any errors arrising out of using this. Please double check all calculations yourself before prescribing and administering medications. However, I make no warranties or representations, expressed or implied, as to the accuracy of this information. Rosemarie Boland for providing the average weights by gestation (based on 13,000+ preterm-infants born alive in Victoria between 19).ĭisclaimer: Every effort has been taken to ensure the accuracy of this information. Based on RCH PIPER and Royal Womens Hospital Melbourne drug guidelines.ĭr Michael Stewart, Dr Jenni Sokol and Dr Risha Bhatia for reviewing and testing this tool. Feedback and suggestions are welcome.ĭeveloped by Jubal John. This web application automates various calculations that are useful in the care of a neonate. Additionally the Royal Children's Pharmacy disclaimer applies. Please double check all calculations yourself before prescribing and administering medications, I am in no way liable for any errors that may arise from using this web application. Furthermore, the contents are subject to review and change from time to time. I make no warranties or representations, expressed or implied, as to the accuracy of information contained in this application. This application is intended for use primarily by the Paediatric Infant and Perinatal Emergency Retrieval Service clinicians.ĭetailed usage instructions, including instructions on creating a shortcut on mobile devices is available here.ĭisclaimerWhilst every effort has been taken to ensure the accuracy of the information in this web application, it is still possible that errors may have been missed. Calculations should update as the weight is entered. Start by entering the date of birth, gestation and weight in the form above. I would love to hear your feedback or suggestions for improvements. A complete update is underway with new features - which will be launching soon. This worksheet was used about 10,000 times in the last year - I hope you have found it helpful. Medicines for Intubation and ResuscitationĪdd 0.9mL NaCl 0.9% to 0.1mL morphine (1mg) = 1mg/mLĪdd 4mL NaCl 0.9% to 1mL midazolam (5mg) = 1mg/mL (5mg/5mL)Īdd 0.5mL WFI to 0.5mL pancuronium (1mg) = 1mg/mLĭo not dilute (dose calculation rounded to vial)Īdd 1 mL WFI per 1mL Sodium Bicarbonate 8.4%Īdd 9mL NaCl 0.9% to 1mL phenobarbitone (200mg) = 20mg/mLĪdd 9mL NaCl 0.9% to 1mL phenytoin (50mg) = 5mg/mLĪdd 20mL NaCl 0.9% to 5mL acyclovir (125mg) = 5mg/mLĪdd 4.6mL NaCl 0.9% = 100mg/mL (Further dilute see manual)Īdd 3mL NaCl 0.9% to 1mL gentamicin (40mg) = 10mg/mL (Dilute further if <1500g with 0.5mL NaCl 0.9%)Īdd 10mL WFI = 50mg/mL (Further dilute to 5mg/mL)
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |