Continuous IV Fluid Administration Clinical Pathway — Inpatient
Continuous IV Fluid Administration Clinical Pathway — Inpatient
Electrolyte Composition of Various IV Fluids
The AAP recommends children 28 days to 18 yrs requiring maintenance IVF should receive isotonic solutions with appropriate potassium chloride and dextrose because they significantly decrease the risk of developing hyponatremia.
Fluid | Sodium (mEq/L) |
Potassium (mEq/L) |
Osmolality (mOsm/L) |
---|---|---|---|
Human Plasma | 135-145 | 3.5-5.3 | 308 (275-295 mOsm/kg) |
D5 0.45% NaCl | 77 | 0 | 154 |
D5 0.9% NaCl | 154 | 0 | 308 |
D5 lactated ringer's
Note: contains sodium chloride, sodium lactate, potassium chloride, and calcium chloride. Must consider IV compatibility issues.
|
130 | 4 | 273 |
References: 2018 AAP Clinical Practice Guideline: Maintenance Intravenous Fluids in Children Pediatrics