Appendix 1b. 1.5 x daily maintenance IV fluids in children 1 month

Indications

Increased hydration (more than maintenance fluids) is indicated in certain exceptional situations such as in sickle cell patients with painful vaso-occlusive crises (unless acute chest syndrome is suspected) and priapism.
Do not administer these volumes for more than 24 hours; encourage early oral hydration and simultaneously, gradually reduce IV fluids. Monitor for signs of fluid overload.

Fluid to be administered

The fluid of choice in children is Ringer lactate-Glucose 5%. For preparation, see Appendix 1a.

For ease of prescription and administration, the daily volumes and rates in drops per minute have been rounded off.

1.5 X maintenance fluids

Weight

Volume
/24 hours

Rate
(paediatric infusion set 1 ml = 60 drops)

3 to < 4 kg

550 ml/24 h

22 drops/min

4 to < 5 kg

650 ml/24 h

26 drops/min

5 to < 6 kg

850 ml/24 h

34 drops/min

6 to < 7 kg

950 ml/24 h

40 drops/min

7 to < 8 kg

1100 ml/24 h

46 drops/min

8 to < 9 kg

1250 ml/24 h

52 drops/min

9 to < 11 kg

1450 ml/24 h

60 drops/min

11 to < 14 kg

1650 ml/24 h

68 drops/min

14 to < 16 kg

1800 ml/24 h

76 drops/min

16 to < 18 kg

1950 ml/24 h

82 drops/min

18 to < 20 kg

2100 ml/24 h

86 drops/min

Weight

Volume
/24 hours

Rate
(paediatric infusion set 1 ml = 60 drops)

Rate
(standard infusion set 1 ml = 20 drops)

20 to < 22 kg

2200 ml/24 h

92 drops/min

30 drops/min

22 to < 26 kg

2400 ml/24 h

100 drops/min

34 drops/min

26 to < 30 kg

2600 ml/24 h

108 drops/min

36 drops/min

30 to < 35 kg

2800 ml/24 h

38 drops/min

≥ 35 kg

3000 ml/24 h

42 drops/min