Fluid Management

Fluid According to age:
Baby weight <1 kg (1000gm)
Day-1		5% DA	Dextropac-5
Day-2		5%DA+0.22%Nacl	Baby Saline
Baby Weight > 1kg(1000gm)
Day-1	10% DA			Dextropac-10
Day-2 to 1 year	10%DA+0.22%Nacl			APN/Electrodex-10
1-3 year	5%DA+0.22%Nacl			Baby saline
4-8 year	5%DA+0.45% Nacl			Dextrosal Mini
>10 year	5% DNS

Fluid Calculation:
ধরি X ml Fluid দিতে হবে Y hours এ তাহলে কত drop বা microdrop এ দিব?
🎆Law= Xml / 4* Y (hours drop/min)
🥏Example:1000ml fluid যদি 24 hour দিতে হয় তবেআমাদের সূত্র মতে
=X ml/4×Y ml (drop/min)=1000ml / 4× 24 hours(drop/min)=10 drop/min or 40 microdrop/min( 1 drop= 4 microdrop)

Cut Down Fluid(20%) below condition:
🔺PNA🔺Septicaemia🔺meningitis🔺Heart failure🔺Kwashiorkor

Add 20% more Fluid bellow condition:

▪️Phototherapy▪️Preterm LBW

Fluid According To Age : wt>1.5 kg
Day	Amount of Fluid (ml/kg)
1^st	60 ml/kg
2^nd	80 ml/kg
3^rd	100 ml /kg
4^th	120 ml/kg
5^th	140 ml/kg
6^th	150 ml /kg
7^th day – 9 months	150 ml /kg
1-2 year	120 ml /kg
3-5 year	100 ml/kg
>5 year	100 ml /kg

Protocols

Fluid According to age:

Fluid According To Age : wt>1.5 kg