Looking for a method to calculate IV fluid replacement for children and adults for the NPO hours, operative and post anesthesia period?
A. Adult fluid replacement: Three part formula for deriving amounts of fluid to be replaced: A. Deficit is defined as the time the patient is NPO to the time surgery begins 1. 4 ml/kg/hr for the first 0-10 kg10 kg10 kg10 kg 2. 2 ml/kg/hr for the next 11-20 kg 3. 1 ml/kg/hr for weight greater than 21 kg B. Maintenance is defined as the time of incision to closure (dependent on the type of surgical procedure) 1. Eye surgery, extremity procedure 5 ml/kg/hr 2. Mastectomy 8 ml/kg/hr 3. Minor abdominal procedure 8-10 ml/kg/hr 4. Laparotomy/resection, thorocotomy 12 ml/kg/hr 5. Extensive procedure 15-20 ml/kg/hrkg/hr C. Blood replacement: ml/ml for blood replacement plus 3 ml/ml crystalloid to estimated blood loss or 1 ml/ml of volume expander such as albumin Schedule for replacement during the surgical procedure: A. First hour: the deficit + maintenance + blood replacement B. Second hour: the deficit + maintenance + blood replacement C. Third hour: the deficit + maintenance + blood replaceme
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