A child is being treated for dehydration with intravenous fluids
The child currently weighs 13 kg and is estimated to have lost 7 percent of his normal body weight. The nurse is double-checking the IV rate the physician has ordered. The formula the physician used was for maintenance fluids:1000 mL for 10 kg of body weight plus 50 cc for every kg over 10 for 24 hours.Replacement fluid is the percentage of lost body
weight [×] 10 per kg of body weight. According to the calculation for maintenance plus replacement fluid,this child's hourly IV rate for 24 hours should be (Write your answer below.)
What will be an ideal response?
Answer:86
Rationale:Maintenance need for 13 kg is 1000 (50 [×] 3),or 1150 mL/24 hours. Add to this the replacement-fluid loss 7 (percent of total body weight lost) [×] 10 70 mL/kg/24 hours (70 [×] 13 910).1150 910 2060 for 24 hours.2060/24 86 cc per hour.
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