TinyDrip π§ͺ
NICU Β· Fluid & Electrolyte Calculator
π
βοΈ
β‘ Starter
D10 + Β½NS @ 120
D10W @ 80
D5 + ΒΌNS @ 120
β
πΆ Patient
Weight
850
g
mL/kg/d
mL/day
mL/hr
Fluid Rate
120 mL/kg/d
80
100
120
140
160
Total daily volume
102 mL/day
= β mL/kg/d at current weight
Run rate
4.3 mL/hr
= β mL/kg/d at current weight
Bag Volume
250 mL
500 mL
1000 mL
30 mL
π 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
β
mL to add
π Mix Sheet
βΆ
βοΈ Electrolyte Delivery
Β· tap column header for math
π¬
Dextrose
Dex %
Target GIR
Dex %
None
D5
D10
D12.5
D15
D20
GIR Target
mg/kg/min
6
7
8
10
12
10
%
GIR Fine Adjust
8.0
Result
GIR
β
mg/kg/min
Dex% Required
Need
β
% at
β
mL/kg/d
π§
Sodium
1
2
3
4
via:
ΒΌNS
Β½NS
NS
3.0
mEq/kg/d
π
Potassium
0
1
2
3
4
2.0
mEq/kg/d
KCl
K-Acetate
π¦΄
Calcium
0
100
200
300
200
mg/kg/d
Ca-Gluconate 10% Β· 100 mg/mL
π The Math Behind It
βΆ 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 = AΓD/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 β
Calcium:
200 Γ 0.85 = 170 mg/day
Γ· 100 mg/mL = 1.70 mL/day
Γ 250Γ·102 = 4.17 mL β add β
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 β
GIR β
Na β mEq
K β
Ca β
Run β mL/hr
Scale factor:
bag Γ· dailyVol = fraction
mL/day Γ fraction = add