Patients and methods: A total of 77 consecutive patients received AmB-d (1 mg/kg per day) in association with an initial intravenous hydration of at least 1 l/m2 body surface, containing at least 1 l of % saline daily. Hydration was increased when serum creatinine levels showed a . Oct 20, · Replacement Fluid Therapy. T he initial goal of treating dehydration is to restore intravascular volume. The simplest approach is to replace dehydration losses with % saline. This ensures that the administered fluid remains in the extracellular (intravascular) compartment, where it will do the most good to support blood pressure and peripheral perfusion.
intravenous (IV) fluid therapy only for patients whose needs cannot be met by oral or enteral routes, and stop as soon as possible. • Skilled and competent healthcare professionals should prescribe and administer IV fluids and assess and monitor patients receiving IV fluids. • When prescribing IV fluids, remember the five Rs. The rule for calculating maintenance fluids for a 24 hours period, is the /50/20 rule. IV administration of ml/kg for the first 10kg is given. Then 50ml/kg for the next 10kg and then 20ml/kg for every kg over Once this has been figured, you divide the amount by 24 to get the hourly IV fluid flow rate.
If hydration is not improving, give fluids more rapidly; the patient may need ml/kg or more of intravenous fluids during the first 24 hours of treatment. You can decrease the amount of fluid if the patient becomes hydrated earlier than expected. Aug 12, · The current rate is 77 mL/hr. What rate should the nurse set 3 hours after transcribing the order? Answer: mL. The physician orders an intravenous infusion of 5% dextrose in normal saline to be infused at 2 mL/kg/hour in an infant who weighs 9 lb.
IV Fluid Therapy Calculations The basics: • Maintenance fluid rate for an adult dog or cat is estimated as 2mL/kg/hr OR 50mL/kg/24 hours • e.g. 35kg dog: Maintenance = 35kg x 2 = 70mL/hour or 50mL x 35kg = mL/24 hours • Maintenance fluid rate for puppy or kitten may be estimated as mL/kg/hr. The second formula is necessary for patients kg or >70 kg. With prolonged parenteral fluid administration, usually throughout a course of days, serum sodium may increase, and maintenance fluids (eg, half-strength saline or 5% dextrose in water) may be needed to replace free water deficits.