![]() 12.5% should be used only after a documented risk assessment.Ġ-24 hours: 10% glucose or Babiven Startup PN (if less than 30 weeks gestation or 1250g)Ģ4- 72 hours: Glucose 10% with sodium chloride 0.18% (500mL) or Parenteral nutrition - as indicated. The maximum glucose (dextrose) concentration to be administered via a peripheral intravenous cannula (or other peripheral access) is 10%. Maintenance fluids should be delivered via a central line (UVC or long-line) where available. This requires careful individual clinical assessment. secondary to cerebral oedema, hypoxic ischaemic encephalopathy) will need fluid restriction. ![]() Infants in established renal failure may need to be restricted to 40mls/kg/day plus urine output.Post-operative fluid requirements should be discussed carefully with the surgical and neonatal team and fluid restriction may be required.Infants with a symptomatic patent ductus arteriosus (PDA) should not exceed 150mls/kg/day.*Infants should only be prescribed iv fluids in excess of 165 ml/kg after careful assessment of their fluid balance and ongoing requirements.Some babies may require less fluid volume. **In Infants ≤30 weeks or ≤1250g progress to 165 ml/kg on day 6 only after review of U&E and weight change.The following table is a guide to the daily maintenance fluid requirements. Fluids should be restricted to the minimum to cover losses during the acute phase of RDS. The fluid volumes required by each infant should be adjusted daily on an individual basis, determined by their clinical condition, previous fluid balance, sodium balance and renal and cardiac function. Pharmacy is not able to manufacture fluid requests outside the normal working hours. In unstable patients ensure that you have blood results available before 5pm to enable pharmacy aseptic to manufacture a designer fluid if needed. A laboratory sample should be sent every 24-48 hrs. Point of care testing can be used if correlating well with laboratory results. ![]() Review and document Sodium, Potassium, Chloride, Creatinine and Urea levels Reassess whether oral fluids can be started on a daily basis.īabies on IV fluids require U&E every 24 hoursīabies with electrolyte instability should have more regular electrolyte levels checked. 12-hourly reassessments of the fluid prescription and the current hydration status.Types and volumes of fluid input and output (urine, gastric and other), recorded hourly and with running totals. The fluid and electrolyte prescription (in ml per hour), with clear signatures, dates and times. Consider any special instructions for prescribing, including relevant history (e.g. Weight should be used as soon as clinically possibleĬalculate or review the fluid input, output and balance over the previous 24 hours. ![]() How to request patient specific intravenous fluids (‘designer fluids’) during normal working hours.ĭuring normal working hours of 08:00am to 7:30pm Monday to Friday and 08:00am to 18:00pm weekends and bank holidays pharmacy aseptics is available to prepare patient specific intravenous fluids (‘designer fluids’).īack to top Assessment and monitoring of IV fluid ruirements.How to correct electrolyte abnormalities in situations when pharmacy aseptics is not open.This guidance provides information regarding ![]()
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