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Where feasible, start IV maintenance fluids in sick neonates that need to be nil by mouth or are unable to feed sufficiently by mouth, while awaiting transfer to a neonatal care unit.
10% glucose IV infusion: 60 to 80 ml/kg daily for ages D1 and D2
1/5 0.9% sodium chloride + 4/5 10% glucose IV infusion: 100 ml/kg daily for age D3
| Birth weight/Age |
D1 |
D2 |
D3 |
|---|---|---|---|
| 10% glucose | 10% glucose | 1/5 0.9% sodium chloride + 4/5 10% glucose |
|
|
≥ 3500 g |
9 ml/hour |
12 ml/hour |
15 ml/hour |
|
3000 g - < 3500 g |
8 ml/hour |
11 ml/hour |
13 ml/hour |
|
2500 g - < 3000 g |
7 ml/hour |
9 ml/hour |
11 ml/hour |
|
2000 g - < 2500 g |
5 ml/hour |
7 ml/hour |
9 ml/hour |
Example: for a 2 day old neonate with a birth weight of 2750 g, give 10% glucose IV at 9 ml/hour, then from age D3, change to 1/5 0.9% sodium chloride + 4/5 10% glucose IV given at 11 ml/hour.