Date of fluid order |
|
|
|
Surname |
Enter a surname if the order is to be printed. |
Hospital Number |
Enter a hospital ID
number if the order is to be printed. |
Age of baby |
|
|
|
Working weight |
g |
Click
here to open the preterm infant IVN worksheet |
Planned daily fluid intake |
ml/kg/day
|
to be given over IVN and lipid may be given over a period
<24 hours if the baby is receiving intermittent infusions that
interrupt fluid administration. |
Arterial line fluids |
ml/hour |
| The arterial infusion is
| |
Other infusions (excluding
insulin) |
ml/hour |
-
Consider whether the infusions should be made up in 5%
dextrose, 10% dextrose, 0.45% NaCl, or 0.9%
NaCl.
|
Lipid |
g/kg/day |
|
Oral feeds |
ml every hours |
|
IVN amino acid solution |
|
- Protein intakes will be limited to 3.5g/kg/day
from the IVN amino acid solution, and a total of 4.0g/kg/day of
combined IVN and oral protein.
|
Additional dextrosee |
Dextrose. |
Heparin (250U/500ml) is not necessary unless
running through a separate
lumen. |