NICU Β· Fluid & Electrolyte Calculator
⚑ Starter
πŸ‘Ά Patient
Weight
850g
mL/kg/d
mL/day
mL/hr
Fluid Rate 120 mL/kg/d
Bag Volume
250 mL
500 mL
1000 mL
30 mL
πŸ’Š Drip Order
β€”
mg/kg/min
GIR
β€”
mL/hr
Run rate
β€”
mL/day
Daily vol
Central line? β†’ Heparin
0.5 U/mL final concentration
πŸ“‹ Mix Sheet β–Ά
βš—οΈ Electrolyte Delivery Β· tap column header for math
🍬 Dextrose
Dex %
Target GIR
Dex %
None
D5
D10
D12.5
D15
D20
10%
Result
GIR β€” mg/kg/min
πŸ§‚ Sodium
1
2
3
4
via:
ΒΌNS
Β½NS
NS
3.0mEq/kg/d
🍌 Potassium
0
1
2
3
4
2.0mEq/kg/d
KCl
K-Acetate
🦴 Calcium
0
100
200
300
200mg/kg/d
Ca-Gluconate 10% Β· 100 mg/mL
πŸ“ The Math Behind It
β–Ά expand
ONE FORMULA dose Γ— weight = total/day total Γ· conc = mL/day Γ— (bagΓ·daily) = mL to add Na is in the base fluid: conc Γ— bagVol = mEq in bag nothing to draw up GIR: Dex% Γ— rate Γ· 144 = mg/kg/min Stoich: A/B = C/D solve C = AΓ—D/B same calc every electrolyte LIVE EXAMPLE Patient: 850g Β· 120 mL/kg/d Β· 250mL bag Potassium: 2 Γ— 0.85 = 1.70 mEq/day Γ· 2 mEq/mL = 0.85 mL/day Γ— 250Γ·102 = 2.08 mL β†’ add βœ“ Calcium: 200 Γ— 0.85 = 170 mg/day Γ· 100 mg/mL = 1.70 mL/day Γ— 250Γ·102 = 4.17 mL β†’ add βœ“ Sodium (base fluid): Β½NS = 0.077 mEq/mL Γ— 250mL = 19.25 mEq Na in bag GIR: 10% Γ— 120 Γ· 144 = 8.3 mg/kg/min D-W base + KCl Ca = Final βœ… GIR β€” Na β€” mEq K β€” Ca β€” Run β€” mL/hr Scale factor: bag Γ· dailyVol = fraction mL/day Γ— fraction = add