AI Snips
Chapters
Transcript
Episode notes
Maintenance Fluids Timing
- Use boluses to achieve uvolemia before starting maintenance fluids.
- Maintenance calculations assume healthy kidneys and normal physiology.
Holliday-Segar Method
- Holliday-Segar method extrapolates adult fluid rates for pediatric use based on body surface area.
- It wasn't based on clinical trials, but it's a good starting point.
Sodium in Maintenance Fluids
- Clinical guidelines recommend normal saline for maintenance to avoid hyponatremia.
- Consider individual patient risk for dysnatremia, as guidelines are based on limited evidence.