Fluid & Electrolyte Management

Hi Colleagues May I ask a question, What does free water deficit means for Hypernatremia? I know the definition but what does it actually means when treating hypernatermia with crystolloids solution. For example if serum Na is 190, free water content of 0.9% NaCl is 19%, 0.45% Saline is 59% and 0.2% Saline is 81%. How this will help in giving free water to a baby weight 4Kg with Na 190 mmol/L, who require approximately 576ml of Free water in 4 days to drop Na slowly to 142 mmol/L. Many Thanks in advance.

Hi I’d like to know your protocol to use Parenteral fluids ( volume) the first 3 day in preterms < 32 weeks and for Term infants we are employing 60-80 ml/k/day first day of solution of D10% with amino acids thanks Danielirra

Hello 99Nicu, Recently we have had a number of infants who have required IV Dextrose infusions following episodes of low sugars. Does anyone know of or use a specific guideline when reintroducing, regrading back onto enteral feeds and the monitoring of blood sugars? Many thanks Stay Safe Alistair

Please, do you can share some article about oral supplementation and correction of neonatal hyponatremia or can you share to me a guideline about it or how treat with sodium cloride solution by NG way ? Thanks in advance and God bless you

With significant transepidermal water loss due to poor skin integrity of 22-23 week gestation, I was wonder if there is any ideas to: 1) secure line access (when tegaderm /occusive dressing does not adhere)? We currently use tegaderm to secure UAC/UVC line along with PICC lines/PIV. But with tegaderm not adhering the first few days of life, difficulty in securing PICC lines. UAC/UVC we can secure in pace with tighter suture. 2) have anyone have experience with No-Sting and if so recommendations and experience? Since the company does not recommend its use. 3) any measures to decrease transepidermal water loss besides: keeping humidified isolette closed…

Good night . ¿Do you can share to me please the guidelines that you use to oral correction in mild or moderate neonatal hipokalemia? Thanks in advances and God bless you all

Hi, everyone. I want wondering then you use 3% sodium cloride solution to correct symptomatic hyponatremia, do you use undiluted or add more some solution or strike water? Thanks in advance

Considering the high protein intake from the first hour, how is your daily practice of administering electrolytes (Na, K, Mg) during the contraction phase of VLBW?

What is the normal value of calcium for 37th, 36th week premature, same for term? What formula do you use for calcium result correction with albumin value ? Is ionised calcium value in blood gases more valid than total calcium ?

Dear colleagues! Please share your experience regarding 2 issues about infusion in preterm infants. Unfortunately there are no solid guidelines but questions of fluid supplementation and parenteral nutrition are obviously important for premature patients. There are considerable differences in proposed volumes of fluid requirement per day in literature. For example, Avery’s Diseases of the Newborn (10th edition from 2018, freshest one) provides following numbers: From the other hand, European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2016 Update states that “Typically fluids are initiated at about 70–80 ml/kg/ d…