HYPERNATREMIC DEHYDRATION FLUID CALCULATOR

Day of life 5 TO BE FILLED

Baby weight at admission (Kg) 2.3 AUTOMATICALLY CALCULATED
Maintainence fluid for that day of life (ml/lk/day) 150
Emergency phase (Restoration of Intravascular volume)
Bolus Volume Time
(ml)
IV fluid bolus - 0.9% NS (@ 20ml/kg) 46 over 30minutes

Rehdration phase (correction of free water deficit + maintainence fluid)

Serum Sodium at admission (meq/L) 170
Free water deficit (ml) for that day 122.278481
Maintainence Fluid (ml) for that day 345
Total fluid to be given for that day 467.278481
% of free water out of total fluid for that day 0.261682243
Required sodium concentration in the IV fluid (meq/L) 125.5140187
Fluid to be prepared
Amount of 3%NS to be added to the stick solution (ml) 114.3274854
Amount of 5% Dextrose to be added to the stock solution (ml) 352.9509956
Total fluid (ml) 467.278481
Fluid rate (ml/Hr) for that day 19.46993671

Monitor serum electrolytes, Calcium, Blood sugar and Urine output every 6 hourly and titrate the fluid as per the values

Formulas applied
Free water deficit = 0.7*body weight*[(Sodium observed/sodium desired) - 1]
Total fluid per day = Free water deficit + Maintainence fluid
% free water = free water deficit / total fluid
Required sodium concentration of IV fluid = serum sodium - (% free water * serum sodium)
Amount of 3% NS = (Total fluid * Required IVF Sodium)/513
Amount of 5% D = Total fluid - Amount of 3% NS

Androgue HJ, Madias NE. Hypernatremia. N Engl J Med. 2000;342:1493–1499

Andrew L. Schwaderer and George J. Schwartz. Treating Hypernatremic Dehydration. Pediatrics in Review 2005;26;148