NICU Fluid Calculation:
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The NICU fluid calculation determines the appropriate daily fluid intake for neonates in the Neonatal Intensive Care Unit. The standard range is 100-150 ml/kg/day, adjusted based on the infant's weight and clinical condition.
The calculator uses the simple formula:
Where:
Explanation: The calculation provides the total daily fluid requirement based on the infant's weight and selected fluid range.
Details: Accurate fluid calculation is crucial for maintaining proper hydration, electrolyte balance, and preventing complications like dehydration or fluid overload in neonates.
Tips: Enter the infant's weight in kilograms and select the appropriate fluid range (100 or 150 ml/kg/day) based on clinical assessment.
Q1: Why is fluid calculation important in NICU?
A: Neonates have immature kidneys and are particularly sensitive to fluid imbalances, making precise calculation essential.
Q2: When would you use 100 vs 150 ml/kg/day?
A: 100 ml/kg/day might be used for more mature infants or those at risk for fluid overload, while 150 ml/kg/day might be used for very premature infants or those with increased insensible losses.
Q3: How often should fluid requirements be reassessed?
A: Fluid requirements should be reassessed at least daily, and more frequently for unstable infants or those with changing clinical conditions.
Q4: What factors might modify these calculations?
A: Clinical factors like phototherapy, radiant warmers, respiratory status, and renal function may require adjustment of fluid rates.
Q5: Does this include nutrition or just maintenance fluids?
A: This calculation represents total fluids, which would include both maintenance needs and nutrition when administered intravenously.