Fluid & Electrolyte Management

Dear 99Nicu friends: In this thread I want to know your opinion about: 1.- Which is the real validity of result of lactate in blood gases. 2.- Does the lactate in the neonatal period is really a predictor of good or bad prognosis(neurologic) 3.- Can you tell which decision you make whne you have a blood gas lactate value high. 4.- Which is the value of blood gas lactate that really worry. This questions are because in my unit there is a tendency of give a saline bolus at 10-15 ml/Kg in all the babies that have little, moderate or high lactate value. I understand that if there a severe organic disfunction is logically that the lactate value it will be high, but the…

can you please provide us with a link for free download of (Pediatric and Neonatal Dosage Handbook, 20th Edition).thxs in advance

Bdp and ductus treatment include fluid restricción. 110-130 ml/ kg/ d. The question is: oral or ev? Does anybody use 2/3 of oral liquid??

Hello, what is the general consensus of the use of bicarbonate in your NICU's. Do you use it often? Continuos infusion? Bolus? Thank you! Greetings from Mexico City Sion. Sent from my iPhone using Tapatalk

what is the maintenance fluid of choice in neonate with shock on day 1 ,2 and further in neonates who require dopamine,dobutamine pressor support?

sir,what is the ideal temp setting in open warmer in skin mode for pre term babies?36.5c? or according to gestaional age or body wt?

What is routine policy of vitamin ,calcium and iron supplements in normal/ preterm/ iugr newborns?

Hi there! First, i must say thank you to 99.nicu. I am an RN in NICU for almost 7 years and currently working in Australia. Very well done to all of you. Amazing information and lots of important knowledge. You have added more confidence and made me a better NICU nurse. Just a question: Do you have a certain formula to calculate the mmol/ kg/ day of a Sodium or Potassium infusions? It seems most of our doctors got stucked with this. And i would like to also share it to most of my colleagues so that they can also question / counter check the Na+ or K+ order. In our unit, we are currently on a computerized workload, where everything now is done by the computer, therefore…

Dear all, Can anyone explain the process of Lipid Photo oxidation particularly in TPN I request for the references for the same... Regards Santoshkumar Jakhotiya Vygon India Pvt. Ltd. Mumbai +91-9209003392

many times we met with cases with severe neonatal septicemia, in which we use multiple antibiotics and according to the blood culture,yet we still need use of IVIG a single high dose or 4 days smaller dose as recommended , but still we need to give once more after 1 week or more due to persistence of symptoms . can you help me afaf korraa